Seung Woo Park, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC244 Issued in WA

Practice address

9312 S Tacoma Way
Suite115
Lakewood, WA 98499-4403

Phone

(253) 984-0707

Fax

(253) 984-0707

NPI assigned

Mar 5, 2007

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Undefined Non-Physician Type (Specify)

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730218744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34509 10TH AVE SW",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238415",
            "telephone_number": "253-924-1477",
            "fax_number": "253-984-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 S TACOMA WAY",
            "address_2": "SUITE115",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994403",
            "telephone_number": "253-984-0707",
            "fax_number": "253-984-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SEUNG",
        "middle_name": "WOO",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "LAC244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LINCENSED ACUPUNCTYRIST",
            "identifier": "AC00000244",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Marie Park
• Chan Ho Park, D.C.
• Connor Nicholas Park, DDS
• In Kwon Park, MD
• Seoung Hyon Park, DENTURIST
• Suah Park
• Won Kyu Park, LAC
• Bill Blaine Parker
• Chad Christopher Parker, DDS
• Doe Parker, MFT-A

• Acupuncturist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.