Active NPI
Jonghee Park
- Acupuncturist
- North Hollywood, CA
National Provider Identifier
1487939187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC9558
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AC9558 | CA | MD | Acupuncturist |
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.