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
- 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 |
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.