DR. KI B PARK (NPI# 1437296928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437296928 |
| Entity Type | Individual |
| Full Name | DR. KI B PARK |
| Credential | D.C. |
| Practice Address |
1201 S. Beach Blvd Suite 107 La Habra CA 90631 |
| Practice Telephone | 5629021223 |
| Mailing Telephone | 5629021223 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC28587 | CA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1184849473 | Ki Taek Park | Acupuncturist | 4943 La Palma Ave, Suite D., La Palma, CA 90623-2054 | 2007-04-13 |
| 1346380581 | Ki Young Park | Physical Medicine & Rehabilitation | 14229 37th Ave, Basement, Flushing, NY 11354-4102 | 2007-02-07 |
| 1912176926 | Ki Julia Park | Pharmacist | 15416 Northern Blvd, Flushing, NY 11354-5030 | 2008-02-23 |
| 1902994700 | Ki Eun Park | Internal Medicine | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2006-10-10 |
| Street Address |
1201 S. BEACH BLVD SUITE 107 |
| City | LA HABRA |
| State | CA |
| Zip Code | 90631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174163323 | Knowledge of Autism & Other Developmental Disabilities, LLC. | Assistant Behavior Analyst | 890 Whitebook Drive, La Habra, CA 90631 | 2020-01-15 |
| 1215572417 | Anthony Alonzo Favot | Physician Assistant | 2500 Sidon Ave., La Habra, CA 90631 | 2019-11-12 |
| 1487123618 | Adrian Acosta Dds A Prof Dental Corp | Dentist | 901 W. Whittier Blvd, La Habra, CA 90631 | 2018-11-16 |
| 1669961587 | La Habra Villa, LLC | Assisted Living Facility | 1100 E.whittier Blvd, La Habra, CA 90631 | 2018-05-07 |
| 1679089767 | Alicia Igarta | Behavioral Analyst | 890 Whitebook Dr, La Habra, CA 90631 | 2017-12-27 |
| 1609386564 | Antoinette Marie Burgonio | Counselor | 820 Buena Vista Ave, La Habra, CA 90631 | 2017-10-05 |
| 1023527710 | Sharon Rose Stines | Counselor | 271 W. Imperial Hwy, Suite C, La Habra, CA 90631 | 2017-09-25 |
| 1275050999 | Ivan Andro Simunovic | Physician Assistant | 1341 Brookdale Ave., La Habra, CA 90631 | 2017-08-23 |
| 1730609645 | Lorraine Danielle Granado | Specialist/Technologist | 2301 Las Palomas Dr, La Habra Heights, CA 90631 | 2017-06-21 |
| 1649717844 | Marzieh Simonton | Nurse Practitioner | 921 Donnybrook Ave, La Habra, CA 90631 | 2017-01-25 |
| Find all providers in zip 90631 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053763987 | Hyungmin Jun | Chiropractor | 731 N Beach Blvd Ste 140, La Habra, CA 90631-3689 | 2016-07-03 |
| 1245693076 | Teresa Shallow | Chiropractor | 736 W 4th Ave, La Habra, CA 90631-6012 | 2016-03-30 |
| 1588002257 | Jongil Bae | Chiropractor | 1201 S Beach Blvd Ste 107, La Habra, CA 90631-6366 | 2013-06-04 |
| 1023385184 | Kristine A. Lukens | Chiropractor | 2303 W Whittier Blvd, La Habra, CA 90631-3407 | 2011-11-17 |
| 1114230216 | Santana Injury Center | Chiropractor | 860 E La Habra Blvd, Suite 120, La Habra, CA 90631-5532 | 2010-07-16 |
| 1568649846 | Daryoush Amini | Chiropractor | 2290 W Whittier Blvd Ste C, La Habra, CA 90631-3449 | 2008-01-29 |
| 1184813966 | Ronald James Mathis | Chiropractor | 2415 W Whittier Blvd, La Habra, CA 90631-3406 | 2007-10-17 |
| 1750501185 | Norma Denise Franco | Chiropractor | 2661 W Whittier Blvd Ste A, La Habra, CA 90631-3448 | 2007-04-26 |
| 1689703423 | Wayne Ira Walburn | Chiropractor | 1281 E La Habra Blvd, Suite 3, La Habra, CA 90631-5600 | 2007-03-05 |
| 1639226277 | Robert C. Hughes | Chiropractor | 211 S Euclid St, La Habra, CA 90631-5410 | 2007-01-05 |
| Find all providers in LA HABRA | ||||
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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.