Hyo Park, AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC12673 Issued in CA

Practice address

20110 Pioneer Blvd Ste E
Cerritos, CA 90703-7402

Phone

(562) 860-8300

Fax

(562) 860-8311

NPI assigned

Sep 26, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1578713434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W TOWN AND COUNTRY RD APT 3307",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684672",
            "telephone_number": "562-860-8300",
            "fax_number": "562-860-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20110 PIONEER BLVD STE E",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037402",
            "telephone_number": "562-860-8300",
            "fax_number": "562-860-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HYO",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC12673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AC12673",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Junyoung Park, PHARMD
• Chong Hoon Park
• David Park, AP
• Denise Park, MD
• Douglas Park
• Jennifer Yoon Gaahee Park, PA-C
• John Bansuk Park, PHARM.D.
• June Park
• Juntae Park, LA.C
• Sae Hee Park, N.P.

• Acupuncturist in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.