Individual provider Active NPI

Won Woo Park, D.C

  • Chiropractor
  • Monterey Park, CA
National Provider Identifier
1114216017
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-31657 Issued in CA
Practice address
318 N Garfield Ave
Suite a 2ND FL
Monterey Park, CA 91754-1707
Phone
(626) 280-2818
Fax
(626) 280-2848
NPI assigned
Mar 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-31657 CA Primary

Addresses

Primary practice location

318 N Garfield Ave
Suite a 2ND FL
Monterey Park, CA 91754-1707

Mailing address

318 N Garfield Ave
Suite a 2ND FL
Monterey Park, CA 91754-1707
Phone (626) 280-2818

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

State licenses

LicenseStateTypeSpecialty
DC-31657CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Totalcare One Chiropractic Chiropractor CurrentSince Oct 17, 2021 Accepting new patients
Totalcare One Chiropractor Past Accepting new patients

Locations

318 N Garfield Ave
Ste A
Monterey Park, CA 91754
Phone (626) 280-2818

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1114216017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N GARFIELD AVE",
            "address_2": "SUITE A 2ND FL",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541707",
            "telephone_number": "626-280-2818",
            "fax_number": "626-280-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N GARFIELD AVE",
            "address_2": "SUITE A 2ND FL",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541707",
            "telephone_number": "626-280-2818",
            "fax_number": "626-280-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "WON",
        "middle_name": "WOO",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-31657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.

Verify at the official NPI Registry.