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

Individual provider Acupuncturist · NPI 1356956080

Ji Young Park, LAC is an Acupuncturist in Palisades Park, New Jersey. Practices as a sole proprietor. Licensed in California and New Jersey.

Licensed in
CA, NJ
In the registry since
2020
Specialties on file
2
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

118 Broad Ave # 10
Palisades Park, NJ 07650-2717
Phone: (201) 313-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 25MZ00158300 (NJ)
Acupuncturist Taxonomy 171100000X · Licence AC18841 (CA)

Record details

NPI number1356956080
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022
Mailing address118 Broad Ave # 10, Palisades Park, NJ 07650-2717

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