Provider Demographics
NPI:1275689325
Name:RHEE, HANNA X (ACUPUNCTURE LAC)
Entity Type:Individual
Prefix:MRS
First Name:HANNA
Middle Name:X
Last Name:RHEE
Suffix:
Gender:F
Credentials:ACUPUNCTURE LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17920 TULSA STREET
Mailing Address - Street 2:
Mailing Address - City:GRANADA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91344
Mailing Address - Country:US
Mailing Address - Phone:818-882-2934
Mailing Address - Fax:
Practice Address - Street 1:8345 RESEDA BLVD
Practice Address - Street 2:SUITE 117
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324
Practice Address - Country:US
Practice Address - Phone:818-882-2934
Practice Address - Fax:818-832-5828
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4317171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist