Individual provider Active NPI

Hyunrok Joseph Park

  • Acupuncturist
  • Buena Park, CA
National Provider Identifier
1487129219
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC18230 Issued in CA
Practice address
5361 Barrett Cir
Buena Park, CA 90621-1351
Phone
(213) 248-5255
NPI assigned
Oct 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X AC18230 CA Primary

Addresses

Primary practice location

5361 Barrett Cir
Buena Park, CA 90621-1351

Mailing address

5361 Barrett Cir
Buena Park, CA 90621-1351
Phone (213) 248-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC18230CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Dragon Acucare Clinic Acupuncturist CurrentSince Mar 3, 2024 Accepting new patients
CM Clinic Center CurrentSince Oct 5, 2025 Accepting new patients
CM Medical USA Acupuncturist CurrentSince Oct 13, 2024 Accepting new patients

Locations

6940 Beach Blvd
Unit D309
Buena Park, CA 90621
Phone (714) 417-2235

15707 Imperial Hwy
Ste A
La Mirada, CA 90638
Phone (626) 600-8584

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1487129219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5361 BARRETT CIR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211351",
            "telephone_number": "213-248-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5361 BARRETT CIR",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211351",
            "telephone_number": "213-248-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYUNROK",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.