Provider Demographics
NPI:1770091035
Name:CHIN, JONAH HSUHWAN (LAC)
Entity type:Individual
Prefix:MR
First Name:JONAH
Middle Name:HSUHWAN
Last Name:CHIN
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 1:3147 MOKIHANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-1402
Mailing Address - Country:US
Mailing Address - Phone:323-351-7001
Mailing Address - Fax:
Practice Address - Street 1:3147 MOKIHANA ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-1402
Practice Address - Country:US
Practice Address - Phone:323-351-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-19
Last Update Date:2018-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIACU-1217171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist