NPI

Su Jin Park

NPI 1609225614

Read from the NPPES registry on October 25, 2026.

Facts

Status
Active
Type
Individual
Enumeration date
2016-06-09
Last updated
2016-06-09

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Specialties

Licenses

License CA
16864

Location

Practice location
6935 Tiger Horse Cir
City
Eastvale CA
Postal code
92880-3959
Phone
(213) 268-8161

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Acupuncturists in Eastvale, CA. 5 with this primary taxonomy in the public file.

Other NPIs in Eastvale, CA. 455 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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