Healthcare Provider Details

I. General information

NPI: 1972676062
Provider Name (Legal Business Name): OHAI ACUPUNCTURE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 E SAN ANTONIO DR SUITE #16
LONG BEACH CA
90807-2210
US

IV. Provider business mailing address

925 E SAN ANTONIO DR SUITE #16
LONG BEACH CA
90807-2210
US

V. Phone/Fax

Practice location:
  • Phone: 562-423-2288
  • Fax: 562-423-2299
Mailing address:
  • Phone: 562-423-2288
  • Fax: 562-423-2299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberLAC 5439
License Number StateCA

VIII. Authorized Official

Name: DR. I LING SUN
Title or Position: ACUPUNCTURIST
Credential: LAC
Phone: 562-423-2288