Sang Soo Park, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

L.AC. 15605 Issued in CA

Practice address

1433 W Merced Ave Ste 324
West Covina, CA 91790

Phone

(626) 960-8877

Fax

(877) 315-3777

NPI assigned

Feb 22, 2014

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

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": "1393027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1770908170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 324",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903419",
            "telephone_number": "626-960-8877",
            "fax_number": "877-315-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 324",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-8877",
            "fax_number": "877-315-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SANG SOO",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-22",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "L.AC. 15605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemalatha R Parekh, M.D.
• Kathy Lynn Parish
• Candace Y Park, NP-C
• Erin Y Park, D.P.M.
• Leah Park
• David Joseph, Harry Parra
• Aarti Patel
• Deval Achit Patel, O.D.
• Devesh N Patel, MD
• Dipak C Patel, O.D.

• Acupuncturist in West Covina, CA
• Providers in West Covina, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.