MEDICARE: NEW MEDICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1467912196
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MEDICAL

Provider Business Mailing Address
First Line	:	2050 W CHAPMAN AVE STE 102
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2648
Country	:	US
Telephone Number	:	714-512-1978
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 W CHAPMAN AVE STE 102
Second Line	:
City	:	ORANGE
State	:	CA
Zip	:	92868-2648
Country	:	US
Telephone Number	:	714-512-1978
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HYUNGWOOK PARK
Credential	:	L.AC
Telephone Number	:	949-392-3057

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	03/20/2019

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Directions to “NEW MEDICAL ” Practice Location

Language	Start Address	Practice Location

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