Seonho Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

12641 Issued in CA

Practice address

9828 Garden Grove Blvd Ste 106
Garden Grove, CA 92844-1652

Phone

(714) 530-3550

NPI assigned

May 8, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Acusana Acupuncture Inc

  • Acupuncturist
  • Garden Grove, CA
  • NPI 1194567040
  NPD Authorized official

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1710735576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 VIA ENCINAS",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906303432",
            "telephone_number": "213-703-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 106",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441652",
            "telephone_number": "714-530-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SEONHO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joonkyu Park, D.C.
• Joseph Park, DPT
• Jun Gyu Park, DDS
• Kideog Park
• Sanghoon Park, DDS
• Serena Park
• Stephen S Park, MD
• Steven Park
• Sue Park, LAC
• Tracy Tom Park, O.D.

• Acupuncturist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.