1720338510 NPI number — DR. JEONG AE PARK LAC, PHD

Table of content: MRS. KARRIE MICHELLE RACUTT (NPI 1063621035)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720338510 NPI number — DR. JEONG AE PARK LAC, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PARK
Provider First Name:
JEONG AE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
LAC, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720338510
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/21/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8045 RAVENNA LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STANTON
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90680-3388
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-715-4223
Provider Business Mailing Address Fax Number:
714-716-8314

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12235 BEACH BLVD STE 115A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STANTON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90680-3942
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
714-715-4223
Provider Business Practice Location Address Fax Number:
714-716-8314
Provider Enumeration Date:
09/19/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC13960 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)