Individual ProviderNam Woon ParkAcupuncturistOther Service ProvidersPractice Address1201 S Beach Blvd, #203, La Habra, CA 90631-6366(562) 902-1010PECOS EnrollmentBased on the most recent information from CMS, provider Nam Woon 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 ID1982822086Provider TypeIndividualFull NamePark, Nam WoonGenderMaleSole ProprietorYesEnumeration Date4/23/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address1201 S Beach Blvd, #203, La Habra, CA 90631-6366Phone(562) 902-1010Fax(562) 902-8787Mailing LocationMailing Address1201 S Beach Blvd, #203, La Habra, CA 90631-6366Phone(562) 902-1010Fax(562) 902-8787Provider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC8072California