MEDICARE: MR. RICHARD PARK AC

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	AC6341	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC6341	OTHER	CA	LICENSE NUMBER

General Provider Information

NPI Number	:	1598835340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD PARK AC

Provider Business Mailing Address
First Line	:	12131 BERTHA ST
Second Line	:
City	:	CERRITOS
State	:	CA
Zip	:	90703-7520
Country	:	US
Telephone Number	:	213-383-0007
Fax Number	:	866-621-2931

Provider Business Practice Location Address
First Line	:	3407 W 6TH ST STE 617
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-2553
Country	:	US
Telephone Number	:	213-383-0007
Fax Number	:	866-621-2931

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	12/04/2023

Similar Medicare Providers

1124247796 — MERLIN GRACE HANNES D.C
Practice Location Address:

3407 W 6TH ST STE 604
LOS ANGELES, CA
90020-2553

Practice Phone: 213-422-7052
Practice Fax:

1568642247 — WON ACUPUNCTURE CLINIC, INC.
Practice Location Address:

3407 W. 6TH ST. , 615
LOS ANGELES, CA
90020-2553

Practice Phone: 323-730-9900
Practice Fax:

1972788503 — HYUK WON LEE L.AC
Practice Location Address:

3407 W 6TH ST , 615
LOS ANGELES, CA
90020-2553

Practice Phone: 323-730-9900
Practice Fax: 213-344-5641

1538832258 — A&C WELLPOINT INC
Practice Location Address:

3407 W 6TH ST STE 617
LOS ANGELES, CA
90020-2553

Practice Phone: 310-532-8008
Practice Fax: 213-388-7941

1619638251 — BARONA ACUPUNCTURE & HERB CLINIC
Practice Location Address:

3407 W 6TH ST STE 617
LOS ANGELES, CA
90020-2553

Practice Phone: 213-383-0007
Practice Fax: 866-621-2931

1457228215 — MR. CARL PHILLIP WEISHER DC
Practice Location Address:

3407 W 6TH ST STE 617
LOS ANGELES, CA
90020-2553

Practice Phone: 213-573-6073
Practice Fax:

Directions to “ MR. RICHARD PARK AC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.