Jin Hee Park, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC 15771 Issued in CA

Practice address

22 Odyssey Ste 155
Irvine, CA 92618-3194

Phone

(949) 381-5584

Fax

(949) 381-5584

NPI assigned

Dec 22, 2014

Sex

Female

Sole proprietor

No

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

Locations

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.

• Family Tree Health.Inc

  • Clinic/Center
  • Diamond Bar, CA
  • NPI 1932920055
  NPD

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1457749624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY SUITE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-381-5584",
            "fax_number": "949-381-5584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY STE 155",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183194",
            "telephone_number": "949-381-5584",
            "fax_number": "949-381-5584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JIN HEE",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 15771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eunyung Park, DDS
• Hyungwook Park
• Jae H Park, D.C.
• Jason Hyuk Park, D.P.T.
• Jennifer Park, LMFT
• Jin Joo Park
• Jiyeon Park, PHD, LAC
• Joann Park
• Justin Jong-Gene Park, MD
• Kaitlyn Park

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.