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NPI Code Detail

MEDICARE: DR. SANG HEE SHIN DACM, LAC

MEDICARE: DR. SANG HEE SHIN DACM, LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC7562CA

General Provider Information

NPI Number : 1023354206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANG HEE SHIN DACM, LAC
Provider Business Mailing Address
First Line : 41840 ENTERPRISE CIR N
Second Line :
City : TEMECULA
State : CA
Zip : 92590-5654
Country : US
Telephone Number : 833-867-4642
Fax Number :
Provider Business Practice Location Address
First Line : 41840 ENTERPRISE CIR N
Second Line :
City : TEMECULA
State : CA
Zip : 92590-5654
Country : US
Telephone Number : 833-867-4642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2012
Last Update Date : 04/13/2026

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