Healthcare Provider Details

I. General information

NPI: 1417803503
Provider Name (Legal Business Name): EWHA SOL ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2026
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13975 CONNECTICUT AVE STE 209
SILVER SPRING MD
20906-2921
US

IV. Provider business mailing address

13975 CONNECTICUT AVE STE 209
SILVER SPRING MD
20906-2921
US

V. Phone/Fax

Practice location:
  • Phone: 301-960-8886
  • Fax:
Mailing address:
  • Phone: 301-960-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: EUN YOUNG LEE
Title or Position: OWNER
Credential: L.AC.
Phone: 240-401-9773