Active NPI
Younghee Park, D.C., L.AC.
- Chiropractor
- Buena Park, CA
National Provider Identifier
1679769004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC28715
- Practice address
- 6031 Beach Blvd
Buena Park, CA 90621-2304 - Phone
- (714) 757-5867
- NPI assigned
- Sep 19, 2007
- Last updated
- Sep 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC28715 | CA | Primary |
| Acupuncturist | 171100000X | AC10635 | CA |
Addresses
Primary practice location
6031 Beach Blvd
Buena Park, CA 90621-2304
Mailing address
6031 Beach Blvd
Buena Park, CA 90621-2304
Phone (714) 757-5867
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 |
|---|---|---|---|
| DC28715 | CA | MD | Chiropractor |
| AC10635 | CA | MD | Acupuncturist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190160000000",
"number": "1679769004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6031 BEACH BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212304",
"telephone_number": "714-757-5867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6031 BEACH BLVD",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906212304",
"telephone_number": "714-757-5867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "YOUNGHEE",
"name_prefix": "Dr.",
"credential": "D.C., L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC28715",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC10635",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.