Andrew Min Park, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC25781 Issued in CA

Practice address

7065 Indiana Ave Ste 100&110
Riverside, CA 92506-4167

Phone

(951) 476-0115

Fax

(951) 479-0116

NPI assigned

Jul 31, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tobias Moeller-Bertram MD CorporationGroup PAC ID 1456586064, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Mirage, CA
  • NPI 1922440684
  Medicare reassignment Care Compare group NPD
• Moeller-Bertram Medical Corporation

  dba Lifekind Health

  • Pain Medicine Physician
  • Rancho Mirage, CA
  • NPI 1699586388
  NPD
• Tobias Moeller-Bertram MD Corporation

  dba Lifekind Health

  • Durable Medical Equipment & Medical Supplies
  • Indio, CA
  • NPI 1861389199
  NPD

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1841480209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100&110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-479-0116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7065 INDIANA AVE STE 100&110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064167",
            "telephone_number": "951-476-0115",
            "fax_number": "951-479-0116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANDREW",
        "middle_name": "MIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC25781",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael C Parillo, D.C.
• Leanna M Parisi, OD
• Park and Park Dental Group Partnership (Smile Builder)
• Amy Leanne Park, O.D.
• Andrew Park, DPT
• Anthony J Park, MD
• Eunkyung Park, L.AC
• Hannah Park
• Hanseul Park, DDS
• Ho Eun Park

• Chiropractor in Riverside, CA
• Providers in Riverside, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.