SE RYUNG PARK
NPI 1275178055
Acupuncturist in Tustin, CA

Q: What is Se Park's NPI number?

The NPI number for Se Park is 1275178055. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Q: What is Se Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Q: When was this NPI record last updated?

The NPPES record for Se Park was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 15, 2019

15541 WILLIAMS ST APT D4, TUSTIN, CA 92780(714) 902-5959 Get Directions Write a Review

NPPES record last updated: November 15, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Se Ryung Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SE RYUNG PARK (NPI 1275178055) is an individual acupuncturist in Tustin, California, licensed in California (11324) and active in the NPI registry since November 2019. He maintains a secondary practice location in Anaheim.

NPPES Registry Identity

NPI1275178055

Entity TypeIndividualMale

Primary Taxonomy171100000X

Provider Legal NameSE RYUNG PARK

Location Address15541 WILLIAMS ST APT D4Tustin, CA 92780-4191

Mailing Address15541 Williams St Apt D4Tustin, CA 92780-4191 · (714) 902-5959

Phone(714) 902-5959

Sole ProprietorYes

Enumeration DateNovember 15, 2019

✔ NPI 1275178055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers

Taxonomy Code171100000X

License✔ Licensed in CA · 11324

Definition

An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.

15541 WILLIAMS ST APT D4, Tustin, CA 92780

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Secondary Practice Location 1

Location 11440 S Anaheim Blvd # G1Anaheim, CA 92805-6213 · Phone (714) 340-6590

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Se Park's NPI number?

The NPI number for Se Park is 1275178055. It was assigned to this individual provider in the NPPES registry on November 15, 2019.

Where is Se Park located?

Se Park practices at 15541 Williams St Apt D4, Tustin, CA 92780. The listed phone number is (714) 902-5959.

What is Se Park's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

What insurance does Se Park accept?

Health plans from Providence Health Plan list Se Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Se Park was last updated on November 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.