Active NPI
Yong Hoon Park, L.AC
- Acupuncturist
- San Bernardino, CA
National Provider Identifier
1699047407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC14439
- Practice address
- 1911 Commercenter East
Suite 107
San Bernardino, CA 92408 - Phone
- (909) 890-0401
- Fax
- (909) 939-2413
- NPI assigned
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC14439 | CA | Primary |
Addresses
Primary practice location
1911 Commercenter East
Suite 107
San Bernardino, CA 92408
Mailing address
2076 Bridgewood Way
Upland, CA 91784
Phone (714) 474-3731
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 |
|---|---|---|---|
| AC14439 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426204800000",
"number": "1699047407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2076 BRIDGEWOOD WAY",
"city": "UPLAND",
"state": "CA",
"postal_code": "91784",
"telephone_number": "714-474-3731",
"fax_number": "909-939-2413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 COMMERCENTER EAST",
"address_2": "SUITE 107",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "92408",
"telephone_number": "909-890-0401",
"fax_number": "909-939-2413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "YONG",
"middle_name": "HOON",
"name_prefix": "Mr.",
"credential": "L.AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-09",
"last_updated": "2015-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC14439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.