Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEONG AE PARK, LAC, PHD
Active Sole ProprietorDR. JEONG AE PARK, LAC, PHD is a Acupuncturist healthcare provider located in STANTON, California. NPI 1720338510 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · STANTON, CA
Registration Details
- NPI Number
- 1720338510
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 19, 2012 (13.877101944495 yrs)
- Last Updated
- Oct 21, 2021
- License
-
AC13960 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12235 BEACH BLVD STE 115ASTANTON, CA, 906803942Browse CA providers · Browse ZIP 90680
- Phone
- 7147154223
- Fax
- 7147168314
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in STANTON, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WON HEE CHO | LAC, PHD, QME | 1871846444 |
| CHRIS G KIM | — | 1780097915 |
| SO HYOUNG KIM | — | 1457749921 |
| SEONGJO KIM | — | 1679194567 |
| HYUN JOO KIM | L.AC. | 1962004762 |
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.