Jong Ho Park, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC5070 Issued in CA

Practice address

2707 S Diamond Bar Blvd
Suite 205
Diamond Bar, CA 91765-3500

Phone

(909) 598-8682

NPI assigned

Apr 19, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1760749352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 205",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-598-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 S DIAMOND BAR BLVD",
            "address_2": "SUITE 205",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653500",
            "telephone_number": "909-598-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "JONG",
        "middle_name": "HO",
        "name_prefix": "Mr.",
        "credential": "LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC5070",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "GA",
            "license": "215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucas Ivan Paredes, D.C
• Angela Park
• Grace Park, D.C.
• Hee Bang Park, ACUPUNCTURIST
• John Park, PHD
• Ritchie Park, D.D.S.
• Shin Park
• Ashley Marie Tolentino Pascua, PTA
• Dilipkumar G Patel, DDS
• Rajul K Patel, DDS

• Acupuncturist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.