Richard Park, AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6341 Issued in CA

Practice address

3407 W 6TH St Ste 617
Los Angeles, CA 90020-2553

Phone

(213) 383-0007

Fax

(866) 621-2931

NPI assigned

Nov 9, 2006

Sex

Male

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

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Barona Acupuncture & Herb Clinic

  • Acupuncturist
  • Los Angeles, CA
  • NPI 1619638251
  NPD Authorized official

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1598835340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12131 BERTHA ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037520",
            "telephone_number": "213-383-0007",
            "fax_number": "866-621-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W 6TH ST STE 617",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900202553",
            "telephone_number": "213-383-0007",
            "fax_number": "866-621-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "AC6341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter H Park, M.D,
• Peter Sanghyuk Park, DDS
• Peter Yongsung Park, MSW
• Priscilla Park
• Raymond Park, D.O,
• Robert Park, D.D.S.
• Ronald Park
• Sae Park, OTR/L
• Samuel Park
• Sandy Park, PHARM.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.