In H Park, ACUPUNCTURE

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC8213 Issued in CA

Practice address

421 N Brookhurst St Ste 218
Anaheim, CA 92801-5619

Phone

(714) 726-9955

Fax

(714) 816-1622

NPI assigned

Jun 27, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John Park Professional name

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1306008685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N. BROOKHURST ST.#218",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928012565",
            "telephone_number": "714-726-9955",
            "fax_number": "844-272-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 218",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015619",
            "telephone_number": "714-726-9955",
            "fax_number": "714-816-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "IN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "ACUPUNCTURE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ACUPUNCTURE LICENSE NUMBER",
            "identifier": "AC8213",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "PARK",
            "credential": "ACUPUNCTURE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chan M Park, MD
• Christina Park, FNP-C
• Deul Rae Park
• Ga Yun Park
• Hyosook Park, LAMFT
• Jason Park
• Jennifer Eunhee Park
• Joon Park
• Joon Ho Park, L.AC.
• Ju Ann Park

• Acupuncturist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.