Active NPI
Seon A. Pak, L.AC.
- Acupuncturist
- Fullerton, CA
National Provider Identifier
1497074595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC 9761
- Practice address
- 2709 Baycrest PL
Fullerton, CA 92833-1404 - Phone
- (714) 244-2584
- Fax
- (714) 879-2938
- NPI assigned
- May 28, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 9761 | CA | Primary |
Addresses
Primary practice location
2709 Baycrest PL
Fullerton, CA 92833-1404
Mailing address
2709 Baycrest PL.
Fullerton, CA 92833
Phone (714) 244-2584
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 |
|---|---|---|---|
| AC 9761 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275004800000",
"number": "1497074595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 BAYCREST PL.",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92833",
"telephone_number": "714-244-2584",
"fax_number": "714-879-2938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 BAYCREST PL",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928331404",
"telephone_number": "714-244-2584",
"fax_number": "714-879-2938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAK",
"first_name": "SEON",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-28",
"last_updated": "2010-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC 9761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.