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

Jae Chang Park, LAC

Individual provider Acupuncturist · NPI 1255463675

Jae Chang Park, LAC is an Acupuncturist in Santa Maria, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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.

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Practice location Address checks out

940 E Main St
Santa Maria, CA 93454-5331
Phone: (805) 332-9839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC 10209 (CA)

Record details

NPI number1255463675
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedMarch 12, 2007
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023

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