IndividualActive
Jeong Ae Park, LAC, PHD
NPI 1720338510 · Acupuncturist · Stanton, CA
Jeong Ae Park, LAC, PHD is a Acupuncturist provider in Stanton, CA (NPI 1720338510).
Provider details
- NPI number
- 1720338510
- Entity type
- Individual
- Primary specialty
- AcupuncturistOther Service Providers
- Credential
- LAC, PHD
- Sex
- Female
- Sole proprietor
- Yes
- License
- AC13960 (CA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12235 Beach Blvd Ste 115a
Stanton, CA 90680-3942
Phone: (714) 715-4223
Fax: (714) 716-8314
Approximate (ZIP-level) locationGet directions
Mailing address
8045 Ravenna Ln
Stanton, CA 90680-3388
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Frequently asked questions
- What is Jeong Ae Park's NPI number?
- Jeong Ae Park's National Provider Identifier (NPI) is 1720338510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeong Ae Park's specialty?
- Jeong Ae Park is listed in the NPPES registry with a primary specialty of Acupuncturist (Other Service Providers).
- Where is Jeong Ae Park located?
- Jeong Ae Park's practice location on file with NPPES is 12235 Beach Blvd Ste 115a, Stanton, CA 90680-3942.
- What is Jeong Ae Park's phone number?
- The practice phone number listed in the NPPES registry for Jeong Ae Park is (714) 715-4223.
- Is Jeong Ae Park's NPI active?
- Yes — Jeong Ae Park's NPI (1720338510) is active in the NPPES registry as of the last update on 2021-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.