Individual provider Active NPI

Hwan Park, ACUPUNCTURIST

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1225613326
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
19050 Issued in CA
Practice address
4980 Avila Way
Buena Park, CA 90621-1155
Phone
(714) 745-7635
NPI assigned
Mar 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 19050 CA Primary

Addresses

Primary practice location

4980 Avila Way
Buena Park, CA 90621-1155

Mailing address

4980 Avila Way
Buena Park, CA 90621-1155
Phone (714) 745-7635

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
19050CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Spring Acupuncture & Herbs Acupuncturist Current Accepting new patients

Locations

8362 Artesia Blvd
Ste C
Buena Park, CA 90621
Phone (714) 381-1777

Organizations & group practices 1

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1225613326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4980 AVILA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211155",
            "telephone_number": "714-745-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4980 AVILA WAY",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211155",
            "telephone_number": "714-745-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HWAN",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.