Provider Demographics
NPI:1396181939
Name:HAN, MIN (L AC)
Entity Type:Individual
Prefix:DR
First Name:MIN
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3285 HOMESTEAD RD APT 3
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5101
Mailing Address - Country:US
Mailing Address - Phone:408-886-8187
Mailing Address - Fax:
Practice Address - Street 1:595 LAWRENCE EXPY
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-3922
Practice Address - Country:US
Practice Address - Phone:408-886-8187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15192171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist