Sungmin Pak, D.C., L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

5127 Issued in CA

Practice address

11734 Artesia Blvd
Artesia, CA 90701-3804

Phone

(562) 809-8669

Fax

(562) 809-8122

NPI assigned

Nov 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Shawn Pak Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Michael D Phillips, MD Medical Corporation

  • Pain Medicine Physician
  • Los Angeles, CA
  • NPI 1932445012
  NPD (past)
• Won Sung Chiropractic Clinic, Inc

  • Chiropractor
  • Artesia, CA
  • NPI 1538411269
  NPD (past)
• Atlanta Hope Medical Group Inc

  • Family Medicine Physician
  • Doraville, GA
  • NPI 1447404835
  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1407000243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11734 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013804",
            "telephone_number": "562-809-8669",
            "fax_number": "562-809-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11734 ARTESIA BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907013804",
            "telephone_number": "562-809-8669",
            "fax_number": "562-809-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "SUNGMIN",
        "credential": "D.C., L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-06",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR008322",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "19938",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "PAK",
            "credential": "D.C.,L.AC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Orange Healthcare Services LLC
• Marissa Bautista Oriel, DMD
• Alma Ortiz, M.A., LMFT
• Angel Jumapao Ouano, D.D.S.
• Viridiana Pablo-Martinez
• Cherlene Panganiban, OTR
• Christine Arambulo Pangga
• Paramount Acupuncture Clinic
• Jacqueline Jung Ah Park, RPH
• Yeon Hong Park, D.D.S.

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

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