Sang Woo Park, O.M.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 3911 Issued in CA

Practice address

945 S Western Ave
# 203
Los Angeles, CA 90006-1008

Phone

(323) 730-0700

Fax

(323) 730-0373

NPI assigned

Feb 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144368747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 S WESTERN AVE",
            "address_2": "# 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061008",
            "telephone_number": "323-730-0700",
            "fax_number": "323-730-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 S WESTERN AVE",
            "address_2": "# 203",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061008",
            "telephone_number": "323-730-0700",
            "fax_number": "323-730-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANG",
        "middle_name": "WOO",
        "name_prefix": "Dr.",
        "credential": "O.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 3911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0039110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Park, PHARM.D.
• Sang Park
• Sang Hyo Park, MD
• Sang Jin Park, PHARMACIST
• Sang Kyu Park
• Sangdo Park, MD
• Sangji Emily Park, LMFT
• Sara Soyoung Park, PHARM.D.
• Sarah Eugene Park, MD
• Sarah H. Park

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.