Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Siwan Park

Individual provider Acupuncturist · NPI 1720793706

Siwan Park is an Acupuncturist in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

1649 W Orangethorpe Ave
Fullerton, CA 92833-4535
Phone: (714) 519-3883
Fax: (978) 334-5369
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC19659 (CA)

Record details

NPI number1720793706
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 13, 2023
Certification dateJanuary 13, 2023

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