Individual
CHANJOON PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
905 S EUCLID ST #111, FULLERTON, CA 92832
(714) 446-9114
(562) 299-5912
Mailing address
905 S EUCLID ST #111, FULLERTON, CA 92832
(714) 446-9114
(562) 299-5912
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12692
ACUPUNCTURE
CA
Enumeration date
12/03/2010
Last updated
12/03/2010
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