Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIWAN PARK
Active Sole ProprietorSIWAN PARK is a Acupuncturist healthcare provider located in FULLERTON, California. NPI 1720793706 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · FULLERTON, CA
Registration Details
- NPI Number
- 1720793706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 13, 2023 (3.4014741707837 yrs)
- Last Updated
- Jan 13, 2023
- License
-
AC19659 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1649 W ORANGETHORPE AVEFULLERTON, CA, 928334535Browse CA providers · Browse ZIP 92833
- Phone
- 7145193883
- Fax
- 9783345369
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in FULLERTON, CA
| Name | Credential | NPI |
|---|---|---|
| MS. FANGLI CHUNG | L.AC. | 1659483386 |
| JENNY SUN YEE | L.AC. | 1437241700 |
| MR. SIMON C KIM | L. AC. | 1437244548 |
| DR. BRIAN C. KANG | D.C., L.AC. | 1831279876 |
| MISS JINJOO KIM | LAC | 1740358662 |
| MR. JUN H PAEK | L.AC. | 1013078211 |
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.