Park, Ki Taek

Park, Ki Taek is an sole proprietor health care provider with primary practice located at 4943 La Palma Ave Suite D., La Palma CA 90623-2054. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Park, Ki Taek can be contacted via phone (562) 402-2003.

Contact Information

Primary practice address
4943 La Palma Ave Suite D. La Palma CA 90623-2054
Phone: (562) 402-2003
Fax: (562) 402-0363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X AC 3451 California

Profile Details

NPI number 1184849473
LBN Legal business name Park, Ki Taek
Credentials LICAC OMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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