Jaung Soon Park, L.AC., DAOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

0121000819 Issued in VA

Practice address

7535 Little River Tpke Ste 200a
Annandale, VA 22003-2988

Phone

(703) 642-7527

NPI assigned

Feb 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Julie Park Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acu Healing Inc

  • Acupuncturist
  • Annandale, VA
  • NPI 1891532271
  NPD Authorized official
• South Baylo Clinic

  dba South Baylo University VA Clinic

  • Acupuncturist
  • Annandale, VA
  • NPI 1063844421
  NPD (past)
• Edward Medical Group, Inc

  • Family Medicine Physician
  • Garden Grove, CA
  • NPI 1275627986
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1144365255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE STE 200A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032988",
            "telephone_number": "703-642-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7535 LITTLE RIVER TPKE STE 200A",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220032988",
            "telephone_number": "703-642-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JAUNG SOON",
        "credential": "L.AC., DAOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "VA",
            "license": "0121000819",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "PARK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Pan Homehealth Support Services LLC
• Manisha Parikh, P.T.
• Ah Reum Park
• Henry Insuk Park, DDS
• Hune June Park, DMD
• Ju Hee Park, DDS
• Kong Surk Park, D.C.
• Kyung Sook Park, OMD
• Maya Parker
• Gustavo Jesus Pascale

• Acupuncturist in Annandale, VA
• Providers in Annandale, VA by specialty
• Acupuncturist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.