Provider Demographics
NPI:1649721788
Name:HAN, SOYOUNG (LAC)
Entity type:Individual
Prefix:MS
First Name:SOYOUNG
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:SOYOUNG
Other - Middle Name:
Other - Last Name:CHOI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9631 ARTESIA BLVD.
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706
Mailing Address - Country:US
Mailing Address - Phone:562-373-6650
Mailing Address - Fax:323-870-5242
Practice Address - Street 1:9631 ARTESIA BLVD.
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706
Practice Address - Country:US
Practice Address - Phone:562-373-6650
Practice Address - Fax:323-870-5242
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 17409171100000X
CAAC17409171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist