CHANJOON PARK (NPI# 1588966063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588966063 |
| Entity Type | Individual |
| Full Name | CHANJOON PARK |
| Credential | LAC |
| Practice Address |
905 S Euclid St #111 Fullerton CA 92832 |
| Practice Telephone | 7144469114 |
| Practice Fax Number | 5622995912 |
| Mailing Telephone | 7144469114 |
| Mailing Fax Number | 5622995912 |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2010-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC12692 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ACUPUNCTURE | AC12692 | 01 |
| Street Address |
905 S EUCLID ST #111 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932735669 | Diana Hernandez | Behavior Technician | 413 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2020-03-13 |
| 1942830013 | Karen Marie Winkle | Speech-Language Pathologist | 812 Lois Lane, Fullerton, CA 92832 | 2020-01-17 |
| 1578122487 | Andrea Arevalo | Behavior Technician | 713 Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-06-13 |
| 1275090193 | Madison Elizabeth Miller | Behavior Technician | 714 W Commonwealth Ave, Suite C, Fullerton, CA 92832 | 2019-02-27 |
| 1528525862 | Samantha Rivas | Behavior Technician | 713 W Commonwealth Ave., Suite C, Fullerton, CA 92832 | 2019-02-22 |
| 1760948483 | Marcus Gerard Chavez | Behavioral Analyst | 713 West Commonwealth Suite A, Fullerton, U.S.A 92832 | 2019-02-19 |
| 1710443437 | Rolando Jimenez | Behavior Technician | 713 W. Commonwealth, Suite A, La Habra, CA 92832 | 2019-02-18 |
| 1659872919 | Anthony James Arneson | Marriage & Family Therapist | 120 N Lawrence, Fullerton, CA 92832 | 2018-02-22 |
| 1407302243 | Be Well Pharmacy Inc | Pharmacy | 105 N Lawrence Ave, Fullerton, CA 92832 | 2016-08-31 |
| 1871907972 | Edward Walls | Counselor | 771 W.orangethorpe Ave., Fullerton, CA 92832 | 2014-06-17 |
| Find all providers in zip 92832 | ||||
| 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 |
|---|---|---|---|---|
| 1679110662 | Gyo Seon Chu | Acupuncturist | 2851 Rolling Hills Dr Spc 48, Fullerton, CA 92835-2304 | 2019-12-09 |
| 1053965129 | Danielle Yvonne Gomez | Acupuncturist | 1701 W Southgate Ave, Fullerton, CA 92833-3852 | 2019-07-27 |
| 1508419383 | Heejin Park | Acupuncturist | 1474 Benchley St, Fullerton, CA 92833-5654 | 2019-07-19 |
| 1518528280 | Sue Kyung Ryo | Acupuncturist | 1351 E Chapman Ave Ste F, Fullerton, CA 92831-3955 | 2019-06-24 |
| 1699236760 | Jiwoo Kim | Acupuncturist | 680 Langsdorf Dr Ste 202a, Fullerton, CA 92831-3720 | 2019-03-29 |
| 1780158097 | Joy Myungyeon Choi | Acupuncturist | 1301 W Southgate Ave, Fullerton, CA 92833-4019 | 2019-01-20 |
| 1922578780 | Hyuiwon Sara Suh | Acupuncturist | 2720 Sheridan Rd, Fullerton, CA 92833-1422 | 2018-12-04 |
| 1346718566 | Rodem Tree Corporation | Acupuncturist | 2501 E Chapman Ave Ste 210, Fullerton, CA 92831-5408 | 2018-11-06 |
| 1497247373 | Jeong Im Hong | Acupuncturist | 1808 Calavera Pl, Fullerton, CA 92833-1824 | 2018-06-05 |
| 1669964755 | Su Yeon Seong | Acupuncturist | 2330 Conejo Ln, Fullerton, CA 92833-1537 | 2018-06-04 |
| Find all providers in FULLERTON | ||||
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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.