Eunjin Bark, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC11174 Issued in CA

Practice address

8237 Sierra Ave
Fontana, CA 92335-3526

Phone

(909) 428-5816

Fax

(909) 350-1427

NPI assigned

May 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bark's Acupuncture Clinic

  • Acupuncturist
  • Fontana, CA
  • NPI 1477958312
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184836785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8237 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353526",
            "telephone_number": "909-428-5816",
            "fax_number": "909-350-1427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8237 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923353526",
            "telephone_number": "909-428-5816",
            "fax_number": "909-350-1427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARK",
        "first_name": "EUNJIN",
        "name_prefix": "Dr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roselle Bantolo, PTA
• George Banzon
• Marilyn Marie Barajas
• Heather Lyn Pintelon Barbosa, M.D.
• Bethany Vierra Barboza, MSW
• Jinseok Bark, CMT
• Bark's Acupuncture Clinic
• Demedre Barnes
• Jordan Hasani Barragan
• Selena Barrientos

• Acupuncturist in Fontana, CA
• Providers in Fontana, 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.