Chung Kyu Park, L.M.P.

Primary specialty

ReflexologistTaxonomy code 173C00000X

License

MA 60002559 Issued in WA

Practice address

31260 Pacific Hwy S Ste 9
Federal Way, WA 98003-5448

Phone

(253) 528-0172

Fax

(253) 528-0173

NPI assigned

Jun 30, 2009

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

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.

• Myomedi Chiropractic Clinic

  • Clinic/Center
  • Federal Way, WA
  • NPI 1063960581
  NPD (past)
• Myomedi Chiropractic Clinic

  • Chiropractor
  • Federal Way, WA
  • NPI 1669612909
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1447488234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31260 PACIFIC HWY S STE 9",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035448",
            "telephone_number": "253-528-0172",
            "fax_number": "253-528-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "CHUNG",
        "middle_name": "KYU",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "WA",
            "license": "MA 60002559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iandine Hans Torres Paras, M.D.
• Chaey Kim Park, RN
• Chanyong Park, LAC.
• Cheong W Park
• Chung Caryn Park
• Daniel I Park, L.D
• Grace Miran Park, FNP
• Haesin Park
• Hyeun Park
• Hyun S. Park, D.D.S.

• Reflexologist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Reflexologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.