Provider Demographics
NPI:1649524554
Name:SOHN, JEHUN (L,AC)
Entity type:Individual
Prefix:
First Name:JEHUN
Middle Name:
Last Name:SOHN
Suffix:
Gender:M
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 1:26540 AGOURA RD STE 101
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-3544
Mailing Address - Country:US
Mailing Address - Phone:818-932-5189
Mailing Address - Fax:805-456-1989
Practice Address - Street 1:26540 AGOURA RD STE 101
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-3544
Practice Address - Country:US
Practice Address - Phone:818-932-5189
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14471171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist