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

Dr. Jeong Ae Park, LAC, PHD

Individual provider Acupuncturist · NPI 1720338510

Dr. Jeong Ae Park, LAC, PHD is an Acupuncturist in Stanton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

12235 Beach Blvd Ste 115A
Stanton, CA 90680-3942
Phone: (714) 715-4223
Fax: (714) 716-8314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC13960 (CA)

Record details

NPI number1720338510
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , PHD
Sole proprietorYes
NPI enumeratedSeptember 19, 2012
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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