Healthcare Provider Details

I. General information

NPI: 1972196558
Provider Name (Legal Business Name): STEVEN DINH HAN DAIM, MSAOM, L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12346 VENTURA BLVD
STUDIO CITY CA
91604-2508
US

IV. Provider business mailing address

12346 VENTURA BLVD
STUDIO CITY CA
91604-2508
US

V. Phone/Fax

Practice location:
  • Phone: 626-340-5119
  • Fax:
Mailing address:
  • Phone: 626-340-5119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: