DR. DONG WOO PARK (NPI# 1346572377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346572377 |
| Entity Type | Individual |
| Full Name | DR. DONG WOO PARK |
| Credential | L.AC |
| Practice Address |
555 W Redondo Beach Blvd Suite111 Gardena CA 90248-1612 |
| Practice Telephone | 3107560001 |
| Practice Fax Number | 3107560004 |
| Mailing Telephone | 3107560001 |
| Mailing Fax Number | 3107560004 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC8057 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699093385 | Dong H Park | Acupuncturist | 16307 Depot Rd Ste S-2, Flushing, NY 11358-2050 | 2010-05-05 |
| 1285626887 | Dong Hee Park | Specialist | 103 E Main St, Elkton, MD 21921-5906 | 2005-08-19 |
| 1124365432 | Dong Sun Park | Chiropractor | 296 N Main St, Spring Valley, NY 10977-3736 | 2013-01-07 |
| 1912297516 | Dong Soon Park | Chiropractor | 7003 Fort Hamilton Pkwy, Brooklyn, NY 11228-1103 | 2011-04-15 |
| 1689706202 | Dong Won Park | Dentist | 130 S Alvarado St, Los Angeles, CA 90057-2238 | 2007-03-09 |
| 1699700021 | Dong Soo Park | Radiology | 485 W Market St, Tiffin, OH 44883 | 2006-07-12 |
| 1760419147 | Dong C Park | Anesthesiology | 409 Main St, Toms River, NJ 08753-7441 | 2006-06-28 |
| 1013963230 | Dong S Park | Dentist | 618th Dental Company, Unit #15652, Credentials Office, Apo Ap, CA 96205 | 2006-05-26 |
| Street Address |
555 W REDONDO BEACH BLVD SUITE111 |
| City | GARDENA |
| State | CA |
| Zip Code | 90248-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598898009 | Sherrie L Obrien | Marriage & Family Therapist | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2007-03-13 |
| 1649643784 | Life Herbs Acupuncture Inc | Health Maintenance Organization | 555 W Redondo Beach Blvd, Ste 111, Gardena, CA 90248-1612 | 2015-11-11 |
| 1588087050 | Life University Health Center | Residential Treatment Facility, Physical Disabilities | 555 W Redondo Beach Blvd, Gardena, CA 90248-1612 | 2014-02-03 |
| 1912270885 | Hacc Inc | Community/Behavioral Health | 555 W Redondo Beach Blvd, Gardena, CA 90248-1612 | 2012-02-22 |
| 1083937262 | Melissa Ann Rousseau | Marriage & Family Therapist | 555 W Redondo Beach Blvd, Gardena, CA 90248-1612 | 2010-03-02 |
| 1295060739 | Eren Gul Karaca | Student in an Organized Health Care Education/Training Program | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2009-10-15 |
| 1144553710 | Joseph Donald Brewer | Counselor | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2009-09-14 |
| 1164654901 | Kamila Forkosh | Counselor | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2009-08-12 |
| 1821258526 | Anthony J Fierro | Social Worker | 555 W Redondo Beach Blvd, Gardena, CA 90248-1612 | 2008-06-16 |
| 1407013287 | Luenetta J Silas | Marriage & Family Therapist | 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248-1612 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537543 | Gereine Mae Condino Datan | Nurse Practitioner | 500 W 190 St, Gardena, CA 90248 | 2020-10-27 |
| 1154811297 | Patrick Lee | Technician/Technologist | 18203 S. Western Ave Ste. 102, Torrance, CA 90248 | 2018-05-15 |
| 1386152445 | Ariana Felicitas Nieves | Behavioral Analyst | 870 W 190th St Ste 400, Gardena, CA 90248 | 2018-01-11 |
| 1265949606 | Jessica Keller | Behavioral Analyst | 879 W 190th St Suite 400, Gardena, CA 90248 | 2018-01-08 |
| 1265941199 | Jaimee E Munson | Behavioral Analyst | 18726 S. Western Ave St, #408, Gardena, CA 90248 | 2017-09-22 |
| 1922467349 | Fred Jefferson Memorial Homes | Substance Abuse Rehabilitation Facility | 152 W. Walnut, Suite 150, Gardena, CA 90248 | 2016-02-12 |
| 1922427442 | Shana Reilly | Behavioral Analyst | 18726 S. Western Ave., Suite 408, Los Angeles, CA 90248 | 2014-04-11 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1093057598 | Aids Health Foundation | Pharmacist | 19300 S. Hamilton Ave., Ste 170, Gardena, CA 90248 | 2013-03-22 |
| 1245576594 | Hye Mi Kim | Behavioral Analyst | 18726 S. Western Ave.,#408, Gardena, CA 90248 | 2012-12-13 |
| Find all providers in zip 90248 | ||||
| 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 |
|---|---|---|---|---|
| 1821637794 | Hang Kim | Acupuncturist | 16815 S Western Ave, Gardena, CA 90247-5217 | 2019-12-24 |
| 1225682040 | Dahae Ra | Acupuncturist | 16607 Halldale Ave Apt 206, Gardena, CA 90247-5474 | 2019-07-30 |
| 1013480011 | Jin Mo Choi | Acupuncturist | 1875 W Redondo Beach Blvd Ste 201, Gardena, CA 90247-3643 | 2019-01-02 |
| 1730651795 | Kun Dong Park | Acupuncturist | 555 W Redondo Beach Blvd # 191, Gardena, CA 90248-1612 | 2018-12-31 |
| 1598241937 | Yeo Jin Chung | Acupuncturist | 1225 W 190th St Ste 425, Gardena, CA 90248-4340 | 2018-07-18 |
| 1184151581 | Zema Acupuncture, Inc. | Acupuncturist | 15435 S Western Ave Ste 203, Gardena, CA 90249-4324 | 2017-05-16 |
| 1407393580 | Jun Woo Kim | Acupuncturist | 1251 W Redondo Beach Blvd Fl 3, Gardena, CA 90247-3464 | 2017-01-26 |
| 1821534959 | Bae Kim | Acupuncturist | 15500 S Normandie Ave # B, Gardena, CA 90247-4014 | 2017-01-12 |
| 1487002051 | Andrea Cabanayan | Acupuncturist | 1854 W 169th St, Suite F, Gardena, CA 90247-5283 | 2016-05-24 |
| 1265897060 | Mi Ok Kim | Acupuncturist | 15420 S Western Ave, Gardena, CA 90249-4354 | 2015-12-21 |
| Find all providers in GARDENA | ||||
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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.