Healthcare Provider Details

I. General information

NPI: 1043691900
Provider Name (Legal Business Name): TOTALCARE ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2015
Last Update Date: 06/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 N GARFIELD AVE STE A
MONTEREY PARK CA
91754-1707
US

IV. Provider business mailing address

318 N GARFIELD AVE STE A
MONTEREY PARK CA
91754-1707
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-2818
  • Fax: 626-280-2848
Mailing address:
  • Phone: 626-280-2818
  • Fax: 626-280-2848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC31657
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC15587
License Number StateCA

VIII. Authorized Official

Name: DR. WON W PARK
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 626-280-2818