SANG SOO PARK (NPI# 1770908170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770908170 |
| Entity Type | Individual |
| Full Name | SANG SOO PARK |
| Credential | L.AC |
| Practice Address |
1433 W Merced Ave Ste 324 West Covina CA 91790 |
| Mailing Address |
1433 W Merced Ave Ste 324 West Covina CA 91790-3419 |
| Practice Telephone | 6269608877 |
| Practice Fax Number | 8773153777 |
| Mailing Telephone | 6269608877 |
| Mailing Fax Number | 8773153777 |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | L.AC. 15605 | CA | Other Service Providers |
| Street Address |
1433 W MERCED AVE STE 324 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922502004 | Simi Acupuncture Inc | Acupuncturist | 1433 W Merced Ave Ste 324, West Covina, CA 91790 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| 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 |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1366938896 | Oriental Holistic Acupuncture Healthe Center Inc | Acupuncturist | 1414 S. Azusa Ave., Ste B-5, West Covina, CA 91791 | 2018-07-09 |
| 1871030544 | Xiaoning Zhu I | Acupuncturist | 2147 Eveningside Dr, West Covina, CA 91792-1421 | 2017-01-19 |
| 1336693670 | Shiva Rouhani | Acupuncturist | 1740 W Cameron Ave Ste 102, West Covina, CA 91790-2719 | 2016-08-03 |
| 1114470259 | Hohoya Inc | Acupuncturist | 1015 S Lark Ellen Ave, West Covina, CA 91791-3502 | 2016-07-25 |
| 1821469792 | Stephen Chow | Acupuncturist | 2012 E Loraine St, West Covina, CA 91792-1732 | 2015-10-16 |
| 1083018808 | Min Chih Chen | Acupuncturist | 3407 E Millridge Dr, West Covina, CA 91792-2946 | 2014-10-22 |
| 1174883144 | Jong Hee Jeon | Acupuncturist | 2865 E Valley Blvd, #25, West Covina, CA 91792-3160 | 2012-05-23 |
| 1568614741 | Tsung Yao Huang | Acupuncturist | 2707 E Valley Blvd # 206, West Covina, CA 91792-3140 | 2008-10-19 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.