Heung S Park, L.AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC6098 Issued in CA

Practice address

258 S Oxford Ave Ste 102
Los Angeles, CA 90004-5172

Phone

(213) 500-6162

Fax

(323) 468-9536

NPI assigned

Oct 9, 2007

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 identifiers 1

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": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1871781419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S OXFORD AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045172",
            "telephone_number": "213-500-6162",
            "fax_number": "323-468-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S OXFORD AVE STE 102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045172",
            "telephone_number": "213-500-6162",
            "fax_number": "323-468-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "HEUNG",
        "middle_name": "S",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC6098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0060980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hae Young Park
• Hanee Park, MS, RD, CNSC
• Hannah Park
• Heeyoung Park, L.AC.
• Heidi H Park, DDS
• Ho Seong Park, M.D.
• Hong Bum Park, D.C.
• Hong Kyun Park, LAC
• Hoon Kyung Park, LAC, QME
• Hunkyung Park

• Acupuncturist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.