Cecilia Yuri Park

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

34082 Issued in CA

Practice address

3440 Wilshire Blvd Ste 100
Los Angeles, CA 90010-2101

Phone

(213) 399-7772

NPI assigned

Mar 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cook Upper Cervical Chiropractic, Apc

  • Clinic/Center
  • San Diego, CA
  • NPI 1164056792
  NPD (past)
• Jessica Lee Chiropractic. Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1225385057
  NPD (past)

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

{
    "created_epoch": "1519948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1578065975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 CARROLL CANYON RD STE 226",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211780",
            "telephone_number": "619-786-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102101",
            "telephone_number": "213-399-7772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5230 Carroll Canyon Rd Ste 226",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921211780",
            "country_code": "US",
            "telephone_number": "619-786-0231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "CECILIA",
        "middle_name": "YURI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-02",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candilla Grace Park
• Caroline Park, NP-C
• Caroline Park, MD PHD
• Caroline Park
• Catherine Y. Park, M.D.
• Chan Ho Park, PA-C
• Chan Young Park, MD
• Chang W Park
• Chansu Park, LAC,. PHD
• Charlie Park

• Chiropractor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.