Active NPI
Young Jae Park, DC
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1851455497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26115
- Practice address
- 981 S Western Ave RM 307
Los Angeles, CA 90006 - Phone
- (213) 500-8432
- Fax
- (213) 388-7763
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26115 | CA | Primary |
Addresses
Primary practice location
981 S Western Ave RM 307
Los Angeles, CA 90006
Mailing address
981 S Western Ave RM 307
Los Angeles, CA 90006
Phone (213) 500-8432
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC26115 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851455497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "981 S WESTERN AVE RM 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-500-8432",
"fax_number": "213-388-7763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "981 S WESTERN AVE RM 307",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90006",
"telephone_number": "213-500-8432",
"fax_number": "213-388-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "YOUNG",
"middle_name": "JAE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- 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.