Park, Chang Sik
Park, Chang Sik is an sole proprietor health care provider with primary practice located at 100 E Thousand Oaks Blvd Ste 250 , Thousand Oaks CA 91360-8150. He recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as his primary health care specialty. Park, Chang Sik can be contacted via phone (805) 495-0360.Contact Information
Primary practice address
100 E Thousand Oaks Blvd Ste 250
Thousand Oaks CA 91360-8150
Phone: (805) 495-0360
Fax: (805) 495-2707
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Acupuncturist | 171100000X | AC3907 | California |
Profile Details
NPI number | 1174699763 |
---|---|
LBN Legal business name | Park, Chang Sik |
Credentials | Licensed Acupuncturist (LAC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 27th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174699763 | NPPES |
California | Other | 0770272019 | EMPLOYER IDENTIFICATION # |
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