MEDICARE: HANNAH ACUPUNCTURE CLINIC INC

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
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1629541701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANNAH ACUPUNCTURE CLINIC INC

Provider Business Mailing Address
First Line	:	408 WESTMINSTER AVE STE 7
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4238
Country	:	US
Telephone Number	:	949-282-8991
Fax Number	:

Provider Business Practice Location Address
First Line	:	408 WESTMINSTER AVE STE 7
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92663-4238
Country	:	US
Telephone Number	:	949-282-8991
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. MILIM JEON
Credential	:
Telephone Number	:	949-282-8991

Provider Enumeration Date	:	01/10/2019
Last Update Date	:	01/10/2019

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