Individual provider Active NPI

Jonghee Park

  • Acupuncturist
  • North Hollywood, CA
National Provider Identifier
1487939187
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC9558 Issued in CA
Practice address
5953 Laurel Canyon Blvd Ste a
North Hollywood, CA 91607-5224
Phone
(213) 235-5688
NPI assigned
Oct 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X
Acupuncturist 171100000X AC9558 CA Primary

Addresses

Primary practice location

5953 Laurel Canyon Blvd Ste a
North Hollywood, CA 91607-5224

Mailing address

5953 Laurel Canyon Blvd Ste a
North Hollywood, CA 91607-5224

Other practice location 1

150 N Almont Dr Unit 101
Beverly Hills, CA 90211-1803
Phone (213) 235-5688

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
AC9558CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1487939187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD STE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916075224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 LAUREL CANYON BLVD STE A",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916075224",
            "telephone_number": "213-235-5688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Almont Dr Unit 101",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902111803",
            "country_code": "US",
            "telephone_number": "213-235-5688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "JONGHEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.