Individual ProviderJinwoo ParkAcupuncturistOther Service ProvidersPractice Address4001 S La Costa Ct, 4001 S La Costa Ct, La Habra, CA 90631(714) 366-3062PECOS EnrollmentBased on the most recent information from CMS, provider Jinwoo Park does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1780836031Provider TypeIndividualFull NamePark, JinwooGenderMaleSole ProprietorNoEnumeration Date10/17/2008Last Updated1/15/2009Contact InformationPractice LocationPractice Address4001 S La Costa Ct, 4001 S La Costa Ct, La Habra, CA 90631Phone(714) 366-3062FaxUnlisted FaxMailing LocationMailing Address4001 S La Costa Ct, 4001 S La Costa Ct, La Habra, CA 90631-2037Phone(714) 366-3062FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 12466California