Bumjin Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-28713 Issued in CA

Practice address

3251 W 6TH St
#107
Los Angeles, CA 90020-5023

Phone

(213) 637-0171

Fax

(213) 637-0174

NPI assigned

May 2, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1417392531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST",
            "address_2": "#107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205023",
            "telephone_number": "213-637-0171",
            "fax_number": "213-637-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 W 6TH ST",
            "address_2": "#107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205023",
            "telephone_number": "213-637-0171",
            "fax_number": "213-637-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "BUMJIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC-28713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Park
• Ben Park
• Brian J Park, PHARMD
• Brian Sooman Park
• Brittany Park, P.T.
• Byung Hee Park, L.A.C
• Byung Kyu Park, D.D.S.
• Byung Sook Park, NP
• Candilla Grace Park
• Caroline Park, NP-C

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.