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

Sunyoung Park, LAC

Individual provider Acupuncturist · NPI 1114080801

Sunyoung Park, LAC is a Physician Assistant in Rancho Cucamonga, California. Qualified in 2020, 6 years ago. Practices with Exer Medical Corporation, a 333-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2006
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

10801 Foothill Blvd # 104
Rancho Cucamonga, CA 91730
Phone: (909) 989-4435
Fax: (909) 989-4461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Acupuncturist Taxonomy 171100000X · Licence 11452 (CA)

Record details

NPI number1114080801
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedDecember 18, 2006
Last updated in NPPESJanuary 11, 2021
Certification dateJanuary 11, 2021
Mailing address10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Exer Medical Corporation — 333 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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