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Individual

HEUNG S PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
258 S OXFORD AVE STE 102, LOS ANGELES, CA 90004-5172
(213) 500-6162
(323) 468-9536
Mailing address
258 S OXFORD AVE STE 102, LOS ANGELES, CA 90004-5172
(213) 500-6162
(323) 468-9536

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6098
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AC0060980
CA
Enumeration date
10/09/2007
Last updated
10/09/2007
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