Healthcare Provider Details

I. General information

NPI: 1871811323
Provider Name (Legal Business Name): NOYOON HUH L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 05/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7310 MAPLE PL #100
ANNANDALE VA
22003-3033
US

IV. Provider business mailing address

7310 MAPLE PL #100
ANNANDALE VA
22003-3033
US

V. Phone/Fax

Practice location:
  • Phone: 703-256-7582
  • Fax: 703-256-7582
Mailing address:
  • Phone: 703-256-7582
  • Fax: 703-256-7582

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0121000476
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: