Chanjoon Park LAC

NPI 1588966063 - Acupuncturist - 171100000X

NPI Details
NPI 1588966063
Gender Male
Enumeration Date 12/03/2010
Last Updated 12/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
905 S EUCLID ST #111
FULLERTON CA, 92832, US
Phone (714) 446-9114
Fax (562) 299-5912
Business Location
905 S EUCLID ST #111
FULLERTON CA, 92832, US
Phone (714) 446-9114
Fax (562) 299-5912
Toxanomy
Taxonomy Code 171100000X
License State California
License Number AC12692
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According to our database, Chanjoon Park LAC NPI is 1588966063, taxonomy code is 171100000X and license number is AC12692, license state is located at California. Chanjoon Park LAC physically located at 905 S Euclid St #111, Fullerton CA, 92832. NPI Number Chanjoon Park LAC has the Individual type.

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1588966063 NPI number is provided on an as is basis without warranty of any kind. 1588966063 is maintained by the National Plan & Provider Enumeration System. The contents of Chanjoon Park LAC are for informational purposes only.