# HAESEONG INTEGRATIVE MEDICINE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912410879
- **Authorized official:** DR. ON JUNG PARK (ACUPUNCTURIST/ CLINICAL DIRECTOR)
- **Authorized official phone:** (213) 944-0214

## Contact information

- **Practice address:** 505 S VIRGIL AVE STE 306, LOS ANGELES, CA 90020-1455
- **Practice address phone:** (213) 944-0214
- **Practice address fax:** (213) 603-8000
- **Mailing address:** 505 S VIRGIL AVE STE 306, LOS ANGELES, CA 90020-1455
- **Mailing address phone:** (213) 944-0214
- **Mailing address fax:** (213) 603-8000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC14308 | CA | Yes |

## Other

- **Enumeration date:** 11/13/2017
- **Last updated:** 11/13/2017