Angela Soeon Park

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC17151 Issued in CA

Practice address

1240 6TH St
Santa Monica, CA 90401-1602

Phone

(310) 917-2200

NPI assigned

Oct 24, 2016

Sex

Female

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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1851842066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 S SEPULVEDA BLVD APT 406",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900346861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 6TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011602",
            "telephone_number": "310-917-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ANGELA",
        "middle_name": "SOEON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC17151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Paredes
• Sara Allison Parelman, PH.D.
• Amanda Parhami
• Neil Nitin Parikh, M.D., M.B.A.
• Thomas Paris, PH.D.
• Carol Young Park, SLP
• Howard H Park, D.M.D.
• Hyo Kyung Park, M.D.
• John Park, DDS
• Nancy Park

• Acupuncturist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.