Healthcare Provider Details

I. General information

NPI: 1831055151
Provider Name (Legal Business Name): HOPE INTEGRATIVE ACUPUNCTURE & WELLNESS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8381 KATELLA AVE STE A
STANTON CA
90680-3246
US

IV. Provider business mailing address

8045 RAVENNA LN
STANTON CA
90680-3388
US

V. Phone/Fax

Practice location:
  • Phone: 714-715-4223
  • Fax: 714-716-8314
Mailing address:
  • Phone: 714-715-4223
  • Fax: 714-716-8314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JEONG AE PARK
Title or Position: PRESIDENT
Credential: L.AC
Phone: 714-715-4223