Pure Balance Healing Art Center

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10097 Issued in CA

Legal business name

PURE BALANCE HEALING ART CENTER

Practice address

30110 Crown Valley Pkwy Ste 107
Laguna Niguel, CA 92677-2043

Phone

(949) 249-2839

Fax

(949) 249-2839

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Eungsoon Park, L.AC, PH.D.NPI 1780612283

Title

Acupuncturist

Phone

(949) 249-2839

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric Eungsoon Park, L.AC, PH.D.

  • Acupuncturist
  • Laguna Niguel, CA
  • NPI 1780612283
  NPD (past) Authorized official
• Yeoung Lang Park, L.AC.

  • Acupuncturist
  • Laguna Niguel, CA
  • NPI 1871713511
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1285844027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30110 CROWN VALLEY PKWY STE 107",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772043",
            "telephone_number": "949-249-2839",
            "fax_number": "949-249-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30110 CROWN VALLEY PKWY STE 107",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772043",
            "telephone_number": "949-249-2839",
            "fax_number": "949-249-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE BALANCE HEALING ART CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "EUNGSOON",
        "authorized_official_title_or_position": "ACUPUNCTURIST",
        "authorized_official_telephone_number": "949-249-2839",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "L.AC, PH.D."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Assistant Services
• Melissa Joy Przeklasa Auth, M.D.
• Psychotherapy Movement, a Prof. Psychological Corporation
• Marylu Pulido
• Nadja Punak
• Sarah Doanthu Quach
• Quality Wound Care PC
• Caroline Quevedo Couper
• Kimberly Anne Quickel
• Tarasa K Quintanilla, FNP-BC

• Acupuncturist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; 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.