Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jae Seog Park

Individual provider Acupuncturist · NPI 1386705614

Dr. Jae Seog Park is an Acupuncturist in Victorville, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

12640 Hesperia Rd Ste D
Victorville, CA 92395-7753
Phone: (760) 684-4143
Fax: (760) 684-8111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC5537 (CA)

Record details

NPI number1386705614
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2006
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

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