In Ki Park, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

10003 Issued in CA

Practice address

269 S la Fayette Park PL Apt 449
Los Angeles, CA 90057-1378

Phone

(213) 604-0081

Fax

(714) 522-8775

NPI assigned

Mar 23, 2009

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kelvin In Ki Park Professional name

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1972744845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S. LA FAYETTE PARK PL STE 449",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90057",
            "telephone_number": "213-604-0081",
            "fax_number": "714-522-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 S LA FAYETTE PARK PL APT 449",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571378",
            "telephone_number": "213-604-0081",
            "fax_number": "714-522-8775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "IN KI",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "10003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELVIN",
            "last_name": "PARK",
            "middle_name": "IN KI",
            "credential": "LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Hyeon Joo Park, D.C.
• Hyun K Park, DO
• Hyung Ho Park, L.AC
• Hyungdo Park, L.AC
• Hyunjin Park, L.AC
• Ingyun Park
• Iris Park, M.S. CCC-SLP
• Jae Hoon Park, M.D.
• Jae Y Park, RPH
• Jamie Park, PHARMD

• 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 Mar 23, 2009; 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.