=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417803503
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EWHA SOL ACUPUNCTURE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/10/2026
-----------------------------------------------------
Last Update Date | 03/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13975 CONNECTICUT AVE STE 209
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20906-2921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-960-8886
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13975 CONNECTICUT AVE STE 209
-----------------------------------------------------
City | SILVER SPRING
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20906-2921
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-960-8886
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | EUN YOUNG LEE
-----------------------------------------------------
Credential | L.AC.
-----------------------------------------------------
Telephone | 240-401-9773
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------