Active NPI
Jennifer Eunhee Park
- Acupuncturist
- Anaheim, CA
National Provider Identifier
1982851168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC6206
- Practice address
- 721 N Euclid St
Anaheim, CA 92801-4116 - Phone
- (714) 774-1001
- Fax
- (714) 774-1140
- NPI assigned
- Aug 19, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC6206 | CA | Primary |
Addresses
Primary practice location
721 N Euclid St
Anaheim, CA 92801-4116
Mailing address
10171 Briley Way
Villa Park, CA 92861-4239
Phone (714) 921-3007
Other names 1
- Dr. J. Eunhee Park
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 |
|---|---|---|---|
| AC6206 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Garden Grove, CA
- NPI 1275627986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1982851168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10171 BRILEY WAY",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614239",
"telephone_number": "714-921-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 N EUCLID ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928014116",
"telephone_number": "714-774-1001",
"fax_number": "714-774-1140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "JENNIFER",
"middle_name": "EUNHEE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-19",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC6206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "J. EUNHEE",
"last_name": "PARK",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.