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CHISHIN AHN

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1528298874

Individual Registrant:
 CHISHIN  AHN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
615 S BROADWAY  SANTA MARIA, CA 93454-5110 US
Tel: 805-614-5070  Fax: 805-614-5072

Contact information for business:
615 S BROADWAY  SANTA MARIA, CA 93454-5110 US
Tel: 805-614-5070  Fax: 805-614-5072

Registration Information:
NPI: 1528298874
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CAAC10212

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
AC0102120CA05




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