MR. Jaeyong Park, LAC

NPI #1003149105 in Fullerton, California

Provider Information

NPI Number: 1003149105
Entity Type: Individual
Name: MR. Jaeyong Park, LAC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LAC
Enumeration Date: Sep 8, 2009
Last Updated: Sep 8, 2009

Practice Location

Address: 2896 TREEVIEW PL
City: Fullerton
State: California
ZIP Code: 92835-3142
Phone: (714) 726-1914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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