Provider Demographics
NPI:1932138393
Name:SHIN, SUNHEE HAN (LAC PHD)
Entity Type:Individual
Prefix:DR
First Name:SUNHEE
Middle Name:HAN
Last Name:SHIN
Suffix:
Gender:F
Credentials:LAC PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BRISTLECONE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1220
Mailing Address - Country:US
Mailing Address - Phone:714-544-8057
Mailing Address - Fax:
Practice Address - Street 1:19 BRISTLECONE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1220
Practice Address - Country:US
Practice Address - Phone:714-544-8057
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8529171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist