Il Hwan Park Chiropractic Professional Corporation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC31167 Issued in CA

Legal business name

IL HWAN PARK CHIROPRACTIC PROFESSIONAL CORPORATION

Practice address

4155 Moorpark Ave
Suite 1
San Jose, CA 95117-1714

Phone

(408) 249-0422

Fax

(408) 249-0430

NPI assigned

Mar 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Il Hwan Park, D.C.

Title

Ceo

Phone

(408) 249-0422

Specialties & licenses 1

Addresses

Other names 1

• BEST SPINE CHIROPRACTIC CLINIC Doing business as

Tax ID family

Best Spine Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Il Hwan Park Chiropractic Clinic

  • Chiropractor
  • San Jose, CA
  • NPI 1780069187
  NPD tax ID

Locations

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1285975128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-249-0422",
            "fax_number": "408-249-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE",
            "address_2": "SUITE 1",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-249-0422",
            "fax_number": "408-249-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IL HWAN PARK CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "IL HWAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-249-0422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC31167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEST SPINE CHIROPRACTIC CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Marie Ikeda, RN, MFT
• James Kenji Ikehara, DDS
• Michelle L Ikei
• Valarie L.J. Ikemoto
• Il Hwan Park Chiropractic Clinic
• Nili Ilani
• Dominique Ilaoa
• Colin S. Ilas, D.D.S.
• Latrisha Ilas, DDS
• Patricia Ilas, DDS

• Chiropractor in San Jose, CA
• Providers in San Jose, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.