DR. JEONG AE PARK LAC, PHD
NPI 1720338510
Acupuncturist in Stanton, CA

Active since September 19, 2012
12235 BEACH BLVD STE 115A, STANTON, CA 90680(714) 715-4223(714) 716-8314 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2021, Jan 15, 2020 (2 updates tracked since 2020).

About Dr. Jeong Ae Park Lac, Phd NPPES

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

DR. JEONG AE PARK LAC, PHD (NPI 1720338510) is an individual acupuncturist in Stanton, California, licensed in California (AC13960) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1720338510
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameDR. JEONG AE PARKCredential: LAC, PHD
Location Address12235 BEACH BLVD STE 115AStanton, CA 90680-3942
Mailing Address8045 Ravenna LnStanton, CA 90680-3388 · (714) 715-4223 · Fax (714) 716-8314
Fax(714) 716-8314
Sole ProprietorYes
Enumeration DateSeptember 19, 2012
Last NPPES UpdateOctober 21, 20212 updates tracked since enumeration
NPPES CertifiedOctober 21, 2021
NPI 1720338510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License Licensed in CA · AC13960
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.

12235 BEACH BLVD STE 115A, Stanton, CA 90680

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
12235 BEACH BLVD STE 115A
STANTON, CA 90680
Acupuncturist
12235 BEACH BLVD STE 115A
STANTON, CA 90680

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 Jeong Ae Park's NPI number?

The NPI number for Jeong Ae Park is 1720338510. It was assigned to this individual provider in the NPPES registry on September 19, 2012.

Where is Jeong Ae Park located?

Jeong Ae Park practices at 12235 Beach Blvd Ste 115A, Stanton, CA 90680. The listed phone number is (714) 715-4223.

What is Jeong Ae Park's specialty?

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

What insurance does Jeong Ae Park accept?

Health plans from Providence Health Plan list Jeong Ae 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 Jeong Ae Park was last updated on October 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.