Active NPI
Jung Kyo Park
- Acupuncturist
- Los Angeles, CA
National Provider Identifier
1023392792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 14491
- Practice address
- 2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363 - Phone
- (213) 444-1155
- Fax
- (213) 402-5183
- NPI assigned
- Sep 29, 2011
- Last updated
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 14491 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave
Suite 212
Los Angeles, CA 90025-5363
Mailing address
20435 S Vermont Ave
Unite 2
Torrance, CA 90502-3150
Phone (213) 444-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JK Acupuncture Clinic, Inc | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1023392792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20435 S VERMONT AVE",
"address_2": "UNITE 2",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905023150",
"telephone_number": "213-444-1155",
"fax_number": "213-402-5183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE",
"address_2": "SUITE 212",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255363",
"telephone_number": "213-444-1155",
"fax_number": "213-402-5183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JUNG KYO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-29",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "14491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.