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CHISHIN AHN
>> Acupuncturist >> Other Service ProvidersRegistrant NPI Number: 1528298874
Individual Registrant: CHISHIN AHN
Gender: M
Not Sole Proprietor
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
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
Tel: 805-614-5070 Fax: 805-614-5072
Registration Information:
NPI: 1528298874
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171100000X | Other Service Providers Acupuncturist | CA | AC10212 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| AC0102120 | CA | 05 |
