SEONGHYEON PARK (NPI# 1295254324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295254324 |
| Entity Type | Individual |
| Full Name | SEONGHYEON PARK |
| Practice Address |
410 S Melrose Dr Ste 200 Vista CA 92081-6623 |
| Mailing Address |
17967 Aguamiel Rd San Diego CA 92127-1039 |
| Practice Telephone | 7606308060 |
| Mailing Telephone | 2013124593 |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2019-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC18102 | CA | Other Service Providers |
| Street Address |
410 S MELROSE DR STE 200 |
| City | VISTA |
| State | CA |
| Zip Code | 92081-6623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134266331 | Kyle Ryan Tetz | Chiropractor | 410 S Melrose Dr Ste 200, Vista, CA 92081 | 2007-01-30 |
| 1023644143 | Stamos Chiropractic Inc. | Chiropractor | 410 S Melrose Dr Ste 200, Vista, CA 92081-6623 | 2020-03-20 |
| 1538564992 | Alison Stamos | Chiropractor | 410 S Melrose Dr Ste 200, Vista, CA 92081-6623 | 2014-10-28 |
| 1891093803 | Mykl Concepts & Physiotherapy,pc | Clinic/Center | 410 S Melrose Dr Ste 200, Vista, CA 92081-6623 | 2011-03-01 |
| 1952577983 | Michael James Shannon II | Physical Therapist | 410 S Melrose Dr Ste 200, Vista, CA 92081-6623 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896202 | Maritza Mercado | Behavior Technician | 1926 Civic Center Dr Suite B, Vista, CA 92081 | 2020-03-13 |
| 1417599267 | Cherelle Artise Lewis | Behavior Technician | 1926 Via Centre Drive, Suite B, Vista, CA 92081 | 2019-10-14 |
| 1194101295 | Mary Stewart | Physical Therapist | 1515 S Melrose Dr, Vista, CA 92081 | 2015-07-31 |
| 1184069122 | Houri Fatourachi, Dds Inc | Dentist | 2325 S Melrose Dr., Vista, CA 92081 | 2013-05-03 |
| 1821377037 | Mori Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2320 La Mirada Dr, Vista, CA 92081 | 2011-08-05 |
| 1497068563 | Gerald Francis Moore | Dentist | 610 S. Melrose Dr, Vista, CA 92081 | 2010-07-19 |
| 1316274749 | Mahtab Saadatmandi | Dentist | 2311 S. Melrose Dr., Vista, CA 92081 | 2009-11-05 |
| 1760650808 | Edward George Dougherty | Occupational Therapy Assistant | 1579 Wellington Lane, 51, Vista, CA 92081 | 2008-02-12 |
| 1831398676 | Longs Drug Stores California LLC | Pharmacy | 635 S Melrose Dr, Vista, CA 92081 | 2007-07-12 |
| 1346462231 | Houri Fatourachi | Dentist | 2325 South Melrose Drive, Vista, CA 92081 | 2007-05-02 |
| Find all providers in zip 92081 | ||||
| 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 |
|---|---|---|---|---|
| 1922367739 | Oriental Medical Arts & Acupuncture | Acupuncturist | 544 W Vista Way, Vista, CA 92083 | 2012-05-14 |
| 1477854446 | Geno Palma Diveley | Acupuncturist | 3231 Business Park Dr, Suite B, Vista, CA 92081-8530 | 2010-11-08 |
| 1104138189 | Sheila Domantay Smith | Acupuncturist | 1587 Madrid Dr, Vista, CA 92081-5005 | 2010-07-08 |
| 1265696785 | Yuelan Chen | Acupuncturist | 1850 Hacienda Dr Ste 15, Vista, CA 92081-4545 | 2008-07-14 |
| 1669516381 | Jamie L Tokubo | Acupuncturist | 906 Sycamore Ave Ste 210, Vista, CA 92081-7851 | 2007-02-16 |
| 1912059213 | Meggin B Sullivan | Acupuncturist | 400 S Melrose Dr, Ste 111, Vista, CA 92081-6632 | 2007-01-17 |
| 1831106392 | Sharon Liao | Acupuncturist | 1910 Shadowridge Dr, Ste. #109, Vista, CA 92081-9007 | 2006-08-01 |
| 1346764933 | Robert D. Olson Integrative Chiropractic, Inc. | Acupuncturist | 906 Sycamore Ave Ste 210, Vista, CA 92081-7851 | 2017-07-26 |
| 1184057986 | Tonya Louise Monsour | Acupuncturist | 115 Main St, Vista, CA 92084-6007 | 2013-08-15 |
| 1851676076 | Dawn Garrison | Acupuncturist | 510 Hacienda Dr, Suite 107, Vista, CA 92081-6637 | 2011-10-19 |
| Find all providers in VISTA | ||||
Please comment or provide details below to improve the information on SEONGHYEON PARK.
| 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.