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

Individual provider Acupuncturist · NPI 1184849473

Ki Taek Park, LICACOMD is an Acupuncturist in LA Palma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
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Practice location Address checks out

4943 La Palma Ave Ste D
LA Palma, CA 90623-2054
Phone: (562) 402-2003
Fax: (562) 402-0363
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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 3451 (CA)

Record details

NPI number1184849473
Entity typeIndividual (Type 1)
GenderMale
Credentials LICACOMD
Sole proprietorYes
NPI enumeratedApril 13, 2007
Last updated in NPPESJuly 8, 2007

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