Individual
MR. HYUNGDO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
323 S LA FAYETTE PARK PL #309, LOS ANGELES, CA 90057
(213) 300-3987
Mailing address
323 S LA FAYETTE PARK PL APT 309, LOS ANGELES, CA 90057-4642
(213) 300-3987
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11928
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC 11928
CALIFORNIA LICENSED ACUPUNCTURIST
CA
Enumeration date
10/26/2010
Last updated
10/26/2010
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