MEDICARE: OHAI ACUPUNCTURE GROUP

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	LAC 5439	CA

General Provider Information

NPI Number	:	1972676062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHAI ACUPUNCTURE GROUP

Provider Business Mailing Address
First Line	:	925 E SAN ANTONIO DR
Second Line	:	SUITE #16
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2210
Country	:	US
Telephone Number	:	562-423-2288
Fax Number	:	562-423-2299

Provider Business Practice Location Address
First Line	:	925 E SAN ANTONIO DR
Second Line	:	SUITE #16
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2210
Country	:	US
Telephone Number	:	562-423-2288
Fax Number	:	562-423-2299

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DR. I LING SUN
Credential	:	LAC
Telephone Number	:	562-423-2288

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	08/22/2020

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Directions to “OHAI ACUPUNCTURE GROUP ” Practice Location

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