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

Jin Park, LAC

Individual provider Clinic/Center · NPI 1730619032

Jin Park, LAC is a Clinic/Center in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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

1096 N Western Ave Ste 107
Los Angeles, CA 90029-2340
Phone: (323) 645-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC7602 (CA)
Clinic/Center Taxonomy 261Q00000X · Licence AC7602 (CA)

Record details

NPI number1730619032
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedJune 19, 2017
Last updated in NPPESJune 19, 2017

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