Individual provider Active NPI

Hyunjin Park, L.AC

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1063218899
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
20293 Issued in CA
Practice address
3400 W Olympic Blvd Ste 207
Los Angeles, CA 90019-2351
Phone
(213) 365-2277
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 20293 CA Primary

Addresses

Primary practice location

3400 W Olympic Blvd Ste 207
Los Angeles, CA 90019-2351

Mailing address

3033 Wilshire Blvd Apt 1516
Los Angeles, CA 90010-1018
Phone (213) 663-6677

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

OrganizationSpecialtyStatusNew patients
Acumedi Health Center Acupuncture Inc. Acupuncturist CurrentSince Feb 23, 2025 Accepting new patients
Daon Acupuncture & Wellness Acupuncturist CurrentSince Feb 23, 2025 Accepting new patients

Locations

3400 W Olympic Blvd
Ste 207
Los Angeles, CA 90019
Phone (213) 365-2277

4055 Wilshire Blvd
Ste 250
Los Angeles, CA 90010

Organizations & group practices 2

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1063218899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 WILSHIRE BLVD APT 1516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900101018",
            "telephone_number": "213-663-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W OLYMPIC BLVD STE 207",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900192351",
            "telephone_number": "213-365-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUNJIN",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "20293",
            "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 Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.