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NPI Code Detail

MEDICARE: JIN AH L.AC

MEDICARE:   JIN  AH  L.AC
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
1171100000XAcupuncturistAC14781CA

General Provider Information

NPI Number : 1235493602
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIN AH L.AC
Provider Business Mailing Address
First Line : 2425 CAMINO DEL RIO SOUTH
Second Line : SUITE 180
City : SAN DIEGO
State : CA
Zip : 92118
Country : US
Telephone Number : 619-467-6067
Fax Number :
Provider Business Practice Location Address
First Line : 2425 CAMINO DE RIO SOUTH
Second Line : SUITE 180
City : SAN DIEGO
State : CA
Zip : 92118
Country : US
Telephone Number : 619-467-6067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2012
Last Update Date : 02/16/2016

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Directions to “ JIN AH L.AC” Practice Location

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