Healthcare Provider Details

I. General information

NPI: 1437095965
Provider Name (Legal Business Name): ACE GENERAL CONSTRUCTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 TIOGA DR APT 306
VENTURA CA
93001-2155
US

IV. Provider business mailing address

900 TIOGA DR APT 306
VENTURA CA
93001-2155
US

V. Phone/Fax

Practice location:
  • Phone: 213-663-6397
  • Fax:
Mailing address:
  • Phone: 213-663-6397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: WOO SUK PARK
Title or Position: VICE PRESIDENT
Credential:
Phone: 213-663-6397