Eric Eungsoon Park, L.AC, PH.D.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10097 Issued in CA

Practice address

30110 Crown Valley Pkwy
#107
Laguna Niguel, CA 92677-2043

Phone

(949) 249-2839

NPI assigned

Jun 30, 2006

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 names 1

• Eung Soon Park Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pure Balance Healing Art Center

  • Acupuncturist
  • Laguna Niguel, CA
  • NPI 1285844027
  NPD (past) Authorized official

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780612283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30110 CROWN VALLEY PKWY",
            "address_2": "#107",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772043",
            "telephone_number": "949-249-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30110 CROWN VALLEY PKWY",
            "address_2": "#107",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926772043",
            "telephone_number": "949-249-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ERIC",
        "middle_name": "EUNGSOON",
        "credential": "L.AC, PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNG",
            "last_name": "PARK",
            "middle_name": "SOON",
            "credential": "L.AC.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Parham Chiropractic Inc
• Stephen G Parham, D.C.
• Setareh Parhizkar, BEHAVIOR TECHNICAN
• Erin Elizabeth Parise, MD
• Park Family Therapy & Associates, a California MFT Corp
• Jacquelin Rose Park, L.AC
• Yeoung Lang Park, L.AC.
• Jeremy Parks
• James Earl Pastor, DDS
• Robert L. Pastore, PHD

• Acupuncturist in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Acupuncturist in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.