Provider Demographics
NPI:1003097429
Name:CORE ACUPUNCTURE HEALTH CARE
Entity Type:Organization
Organization Name:CORE ACUPUNCTURE HEALTH CARE
Other - Org Name:ONE HEALING ART
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YOUNGHEE
Authorized Official - Middle Name:
Authorized Official - Last Name:PARK
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC, OMD
Authorized Official - Phone:714-994-1169
Mailing Address - Street 1:6031 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2304
Mailing Address - Country:US
Mailing Address - Phone:714-994-1169
Mailing Address - Fax:
Practice Address - Street 1:6031 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2304
Practice Address - Country:US
Practice Address - Phone:714-994-1169
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty