Organization Active NPI

Park Oriental Medicine Center, LLC

Doing business as Park Oriental Medicine Center

  • Acupuncturist
  • Mesa, AZ
National Provider Identifier
1366235186
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
PARK ORIENTAL MEDICINE CENTER, LLC
Doing business as
Park Oriental Medicine Center
Practice address
4566 E Inverness Ave Ste 201
Mesa, AZ 85206-4634
Phone
(480) 247-7330
NPI assigned
May 24, 2025
Last updated
May 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Authorized official

Name
Dr. Yeon Hee Park
Title
Member
Phone
(480) 247-7330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4566 E Inverness Ave Ste 201
Mesa, AZ 85206-4634

Mailing address

4566 E Inverness Ave Ste 201
Mesa, AZ 85206-4634
Phone (480) 247-7330

Other practice location 1

11000 N Scottsdale Rd Ste 110
Scottsdale, AZ 85254-6168
Phone (623) 688-7974

Other names 1

  • Park Oriental Medicine Center Doing business as

National Provider Directory

National Provider Directory

Locations

4566 E Inverness Ave
Ste 201
Mesa, AZ 85206
Phone (480) 247-7330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748044800000",
    "number": "1366235186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-247-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 201",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-247-7330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 N Scottsdale Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852546168",
            "country_code": "US",
            "telephone_number": "623-688-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PARK ORIENTAL MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-24",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YEON HEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "480-247-7330",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Oriental Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; 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.