Individual
MR. CHANG SIK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L AC
Contact information
Practice address
100 E THOUSAND OAKS BLVD STE 250, THOUSAND OAKS, CA 91360-8150
(805) 495-0360
(805) 495-2707
Mailing address
100 E THOUSAND OAKS BLVD STE 250, THOUSAND OAKS, CA 91360-8150
(805) 495-0360
(805) 495-2707
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3907
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0770272019
EMPLOYER IDENTIFICATION #
CA
Enumeration date
11/27/2006
Last updated
07/08/2007
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