Individual provider · NPI-1

Byung Mo Ahn, L.Ac

Acupuncturist · Orange, CA

NPI number1841662400
StatusActive
Last updated in NPPESOct 22, 2015

Details

NPI
1841662400
Entity type
Individual (NPI-1)
Name
Mr. Byung Mo Ahn
Credential
L.Ac
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 22, 2015
Last updated
Oct 22, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist12114CAYes

Practice location

1100 W Town And Country Rd Ste 50
Orange, CA 92868-5601

Phone 714-814-5060 · Fax 714-543-1311

Mailing address

1100 W Town And Country Rd Ste 50
Orange, CA 92868-5601

Phone 714-814-5060 · Fax 714-543-1311

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