Ki Taek Park, LICAC OMD

NPI #1184849473 in La Palma, California

Provider Information

NPI Number: 1184849473
Entity Type: Individual
Name: Ki Taek Park, LICAC OMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LICAC OMD
Enumeration Date: Apr 13, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 4943 LA PALMA AVE
Address 2: SUITE D.
City: La Palma
State: California
ZIP Code: 90623-2054
Phone: (562) 402-2003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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