MR. KUN DONG PARK


Address: 555 W Redondo Beach Blvd # 191, Gardena, CA 90248-1612
Phone: 8186064733

MR. KUN DONG PARK (NPI# 1730651795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730651795
Entity Type Individual
Full Name MR. KUN DONG PARK
Credential LAC
Practice Address 555 W Redondo Beach Blvd # 191
Gardena
CA 90248-1612
Practice Telephone 8186064733
Mailing Telephone 8186064733
Enumeration Date 2018-12-31
Last Update Date 2018-12-31
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171100000X Acupuncturist AC16479 CA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
555 W Redondo Beach Blvd # 191, Gardena, CA 902481612 8186064733

Office Location

Street Address 555 W REDONDO BEACH BLVD # 191
City GARDENA
State CA
Zip Code 90248-1612

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 171100000X
Grouping Other Service Providers
Classification Acupuncturist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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
1396147682 Daniel Medical Group, Inc. Acupuncturist 2015 W Redondo Beach Blvd., Ste F, Gardena, CA 90247 2014-09-18
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Competitor

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City GARDENA
Zip Code 90248

Improve Information

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Dataset Information

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.

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