Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAE SEOG PARK
Active Sole ProprietorDR. JAE SEOG PARK is a Acupuncturist healthcare provider located in VICTORVILLE, California. NPI 1386705614 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · VICTORVILLE, CA
Registration Details
- NPI Number
- 1386705614
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.641280593119 yrs)
- Last Updated
- Mar 4, 2026
- License
-
AC5537 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12640 HESPERIA RD STE DVICTORVILLE, CA, 923957753Browse CA providers · Browse ZIP 92395
- Phone
- 7606844143
- Fax
- 7606848111
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in VICTORVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| MR. CRAIG JAMES SWANSON | L.AC.,DIPL.AC. | 1518018605 |
| DR. YU LAN WANG | LAC | 1952445926 |
| JIN KYOU LIM | L.A.C | 1215141635 |
| MR. SANG JO KIM | L.AC. | 1902013741 |
| DR. ELLA Y CHUNG | ACUPUNCTURIST | 1598241937 |
| LALEH SHAHRIARI | — | 1750910535 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.