Provider Demographics
NPI:1750085387
Name:HOUN, ANDREW (LAC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:HOUN
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31511 BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:LAGUNA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92651-8327
Mailing Address - Country:US
Mailing Address - Phone:949-505-3600
Mailing Address - Fax:
Practice Address - Street 1:31542 COAST HWY STE 3
Practice Address - Street 2:
Practice Address - City:LAGUNA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92651-6987
Practice Address - Country:US
Practice Address - Phone:949-505-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-28
Last Update Date:2024-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19606171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty