KI TAEK PARK LICAC OMD NPI 1184849473

NPI Information

NPI: 1184849473
Provider Name: KI TAEK PARK, LICAC OMD
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
4943 LA PALMA AVE
SUITE D.
LA PALMA, CA
ZIP 90623
Phone: (562) 402-2003
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Ki Taek Park, LICAC OMD is an acupuncturist in La Palma, CA. The provider is 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. Ki Taek Park, LICAC OMD NPI is 1184849473. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4943 LA PALMA AVE
SUITE D.
LA PALMA, CA
ZIP 90623-054
Phone: (562) 402-2003
Fax: (562) 402-0363

The enumeration date for this NPI number is 4/13/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 3451	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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