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NPI Code Detail

MEDICARE: MR. SANG Y. HAN L.AC

MEDICARE: MR. SANG Y. HAN L.AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist9423CA

General Provider Information

NPI Number : 1033284187
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SANG Y. HAN L.AC
Provider Business Mailing Address
First Line : 1323 E. FLORIDA AVE
Second Line :
City : HEMET
State : CA
Zip : 92544-8606
Country : US
Telephone Number : 951-652-4042
Fax Number : 951-652-2149
Provider Business Practice Location Address
First Line : 1323 E. FLORIDA AVE
Second Line :
City : HEMET
State : CA
Zip : 92544-8606
Country : US
Telephone Number : 951-652-4042
Fax Number : 951-652-2149
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2006
Last Update Date : 07/08/2007

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