MEDICARE: HEE SUNG HAN 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
1	171100000X	Acupuncturist	12140	CA

General Provider Information

NPI Number	:	1770763948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEE SUNG HAN L. AC

Provider Business Mailing Address
First Line	:	1629 W AVENUE J STE 101
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-2850
Country	:	US
Telephone Number	:	661-942-3346
Fax Number	:	661-942-0886

Provider Business Practice Location Address
First Line	:	1629 W AVENUE J STE 101
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-2850
Country	:	US
Telephone Number	:	661-942-3346
Fax Number	:	661-942-0886

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2007
Last Update Date	:	06/30/2008

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