DR. JIN WOO PARK (NPI# 1245440486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245440486 |
| Entity Type | Individual |
| Full Name | DR. JIN WOO PARK |
| Credential | AC |
| Practice Address |
1323 Phillips Dr Fullerton CA 92833-5641 |
| Practice Telephone | 7147322441 |
| Mailing Telephone | 7147322441 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC9707 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730619032 | Jin Park | Acupuncturist | 1096 N Western Ave Ste 107, Los Angeles, CA 90029-2340 | 2017-06-19 |
| 1972767069 | Jin Park | Optometrist | 266 Yorktown Ctr, Lombard, IL 60148-5526 | 2008-07-17 |
| 1255548343 | Jin Sook Park | Physical Therapist | 630 Hillcrest Dr, Redwood City, CA 94062 | 2007-05-17 |
| 1336264126 | Jin Won Park | Acupuncturist | 9042 Garden Grove Blvd Ste 299, Garden Grove, CA 92844-1370 | 2007-03-20 |
| 1164552246 | Jin Hwi Park | Dentist | 9295 Magnolia Ave, #103, Riverside, CA 92503-3800 | 2007-03-06 |
| 1992800353 | Jin Hewa Park | Family Medicine | 250 W San Jose Ave, Claremont, CA 91711-5207 | 2006-09-13 |
| 1962436550 | Jin Sup Park | Radiology | 8619 Pasture View Ln, Houston, TX 77024-7039 | 2006-07-10 |
| 1053948034 | Jin Patrick Park | Student in an Organized Health Care Education/Training Program | 505 E 70th St, New York, NY 10021-4872 | 2020-03-27 |
| 1073052478 | Jin Park | Pharmacist | 1900 E Lambert Rd, Brea, CA 92821-4371 | 2017-02-17 |
| 1801246715 | Jin Park | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2016-06-21 |
| Street Address |
1323 PHILLIPS DR |
| City | FULLERTON |
| State | CA |
| Zip Code | 92833-5641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790333565 | Qz Enterpprises Corp | In Home Supportive Care | 2817 Muir Trail Dr, Fullerton, CA 92833 | 2019-08-26 |
| 1780114306 | Acupuncture Nara Inc | Clinic/Center | 2334 W. Valencia Dr., Fullerton, CA 92833 | 2017-06-15 |
| 1518350149 | Young A Lee | Nurse Practitioner | 2529 Monterey Pl, Fullerton, CA 92833 | 2015-03-06 |
| 1538557871 | Annacess Arcadio | Occupational Therapy Assistant | 1437 W Woodcrest Ave, Fullerton, CA 92833 | 2015-01-08 |
| 1710306923 | Nora Edith Heredia | Counselor | 1060 S Brookhurst Road, Fullerton, CA 92833 | 2014-04-15 |
| 1912322892 | Louis Michael Hinzo | Counselor | 1060 S. Brookhurst Rd., Fullerton, CA 92833 | 2014-02-28 |
| 1497011290 | Paul Choong Hwan Lee, M.d. A Medical Corporation | Ophthalmology | 1401 S. Brookhurst Rd., Suite 107, Fullerton, CA 92833 | 2012-04-05 |
| 1992073860 | Tammy Phan | Pharmacist | 1826 W Orangethrope Ave, Fullerton, CA 92833 | 2011-12-07 |
| 1346577160 | Hara Orthotics and Prosthetics,inc | Prosthetic/Orthotic Supplier | 1343 W. Valencia Dr., Suite E, Fullerton, CA 92833 | 2009-11-16 |
| 1265669923 | Marcelle Bonneau Taylor | Marriage & Family Therapist | 1145 W. Valencia Mesa, Emmanuel Episcopal Church, Fullerton, CA 92833 | 2009-06-19 |
| Find all providers in zip 92833 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679110662 | Gyo Seon Chu | Acupuncturist | 2851 Rolling Hills Dr Spc 48, Fullerton, CA 92835-2304 | 2019-12-09 |
| 1053965129 | Danielle Yvonne Gomez | Acupuncturist | 1701 W Southgate Ave, Fullerton, CA 92833-3852 | 2019-07-27 |
| 1508419383 | Heejin Park | Acupuncturist | 1474 Benchley St, Fullerton, CA 92833-5654 | 2019-07-19 |
| 1518528280 | Sue Kyung Ryo | Acupuncturist | 1351 E Chapman Ave Ste F, Fullerton, CA 92831-3955 | 2019-06-24 |
| 1699236760 | Jiwoo Kim | Acupuncturist | 680 Langsdorf Dr Ste 202a, Fullerton, CA 92831-3720 | 2019-03-29 |
| 1780158097 | Joy Myungyeon Choi | Acupuncturist | 1301 W Southgate Ave, Fullerton, CA 92833-4019 | 2019-01-20 |
| 1922578780 | Hyuiwon Sara Suh | Acupuncturist | 2720 Sheridan Rd, Fullerton, CA 92833-1422 | 2018-12-04 |
| 1346718566 | Rodem Tree Corporation | Acupuncturist | 2501 E Chapman Ave Ste 210, Fullerton, CA 92831-5408 | 2018-11-06 |
| 1497247373 | Jeong Im Hong | Acupuncturist | 1808 Calavera Pl, Fullerton, CA 92833-1824 | 2018-06-05 |
| 1669964755 | Su Yeon Seong | Acupuncturist | 2330 Conejo Ln, Fullerton, CA 92833-1537 | 2018-06-04 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.