Individual provider Active NPI

Hoon Kyung Park, LAC, QME

  • Acupuncturist
  • Los Angeles, CA
National Provider Identifier
1568665347
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC11265 Issued in CA
Practice address
3171 Los Feliz Blvd
#304
Los Angeles, CA 90039-1527
Phone
(323) 913-0023
Fax
(323) 913-0039
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC11265 CA Primary

Addresses

Primary practice location

3171 Los Feliz Blvd
#304
Los Angeles, CA 90039-1527

Mailing address

3171 Los Feliz Blvd
#304
Los Angeles, CA 90039-1527
Phone (323) 913-0023

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
AC11265CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1568665347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-913-0023",
            "fax_number": "323-913-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3171 LOS FELIZ BLVD",
            "address_2": "#304",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391527",
            "telephone_number": "323-913-0023",
            "fax_number": "323-913-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HOON KYUNG",
        "credential": "LAC, QME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.