Individual
HWAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Contact information
Practice address
4980 AVILA WAY, BUENA PARK, CA 90621-1155
(714) 745-7635
Mailing address
4980 AVILA WAY, BUENA PARK, CA 90621-1155
(714) 745-7635
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
19050
CA
Other
Enumeration date
03/10/2021
Last updated
03/29/2021
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