MR. KWAN WOO PARK (NPI# 1588990840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588990840 |
| Entity Type | Individual |
| Full Name | MR. KWAN WOO PARK |
| Credential | L.AC. |
| Practice Address |
17 Spectrum Pointe Dr 506 Lake Forest CA 92630-2277 |
| Practice Telephone | 9495336699 |
| Mailing Telephone | 9495336699 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | AC 13245 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265790364 | Kwan Jun Park | Orthopaedic Surgery | 6445 Main St Ste 2500, Houston, TX 77030 | 2012-04-26 |
| 1144417395 | Kwan Park | Physical Therapist | 111 N Central Ave, #260, Hartsdale, NY 10530-1903 | 2007-10-02 |
| Street Address |
17 SPECTRUM POINTE DR 506 |
| City | LAKE FOREST |
| State | CA |
| Zip Code | 92630-2277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194370338 | Ashlee Nicole-morton Sourapas | Midwife | 22672 Lambert Street, Suite 611, Lake Forest, CA 92630 | 2019-08-05 |
| 1134784879 | Scott Mach Enterprises | Custodial Care Facility | 23235 Cavanaugh Road, Lake Forest, CA 92630 | 2019-05-08 |
| 1992368930 | James Daniel Ticorat | Pharmacist | 25051 Calle Arenal, Lake Forest, CA 92630 | 2019-04-16 |
| 1770058349 | Tara L Anderson | Physician Assistant | 22365 El Toro Rd Unit 310, Lake Forest, CA 92630 | 2018-10-10 |
| 1659846855 | Song W. Jung. Dds. Inc | Dentist | 23361 El Toro Rd, Ste 105, Lake Forest, CA 92630 | 2018-10-04 |
| 1326520867 | Katherine Marie Billings | Speech-Language Pathologist | 25454 Navajo, Lake Forest, CA 92630 | 2018-08-31 |
| 1205339611 | Orange County Physiotherapy Services, P.C. | Physical Therapist | 22821 Aspan St., #100, Lake Forest, CA 92630 | 2018-03-12 |
| 1295245587 | Tara Rasta | Chiropractor | 22672 Lambert St Suite 620, Olsen Chiropractic, Lake Forest, CA 92630 | 2017-10-02 |
| 1750800132 | Jessica Aguilar | Marriage & Family Therapist | 21153 Calle De Paseo, Lake Forest, CA 92630 | 2017-09-16 |
| 1275072589 | Anhtu Wu | Pharmacist | 23182 Vista Way, Lake Forest, CA 92630 | 2017-02-20 |
| Find all providers in zip 92630 | ||||
| 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 |
|---|---|---|---|---|
| 1174163158 | Lijana Shestopal | Acupuncturist | 514 N Western Ave Ste B, Lake Forest, IL 60045-5319 | 2020-01-08 |
| 1528611449 | Ruijun Wang | Acupuncturist | 23222 Stella Ct, Lake Forest, CA 92630-5336 | 2019-07-19 |
| 1346702636 | Affinity Acupuncture Inc. | Acupuncturist | 22481 El Toro Rd Ste D, Lake Forest, CA 92630-5052 | 2019-04-04 |
| 1205309572 | Acucenter Pain Clinic | Acupuncturist | 222 E Wisconsin Ave Ste 111, Lake Forest, IL 60045-1700 | 2019-01-09 |
| 1942715503 | Kuanping Huang | Acupuncturist | 11 Orchard Ste 109, Lake Forest, CA 92630-8319 | 2017-12-05 |
| 1912418492 | Chunming Hsiao | Acupuncturist | 22706 Aspan St Ste 300, Lake Forest, CA 92630-1603 | 2017-10-24 |
| 1033573811 | Young Soon Choi | Acupuncturist | 22672 Lambert St Ste 616, Lake Forest, CA 92630-1613 | 2016-04-07 |
| 1710356597 | Ji Yun Kim | Acupuncturist | 22024 Summit Hill Dr, Lake Forest, CA 92630-7502 | 2015-09-22 |
| 1265827414 | Touch of Grace Inc | Acupuncturist | 20651 Lake Forest Dr, A111, Lake Forest, CA 92630-7745 | 2015-04-04 |
| 1487059457 | Jlmm Inc. | Acupuncturist | 26741 Rancho Pkwy, Ste 103, Lake Forest, CA 92630-8710 | 2014-11-03 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 92630 |
Please comment or provide details below to improve the information on MR. KWAN WOO PARK.
| 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.