Mr Chang-gyu Park, DC is a medicare enrolled "Acupuncturist" provider in Hesperia, California. He went to Palmer College Chiropractic - West Sunnyvale and graduated in 1993 and has 31 years of diverse experience with area of expertise as Chiropractic. His current practice location is
18361 Bear Valley Rd, Suite 6, Hesperia, California. You can reach out to his office (for appointments etc.) via phone at
(760) 948-0353.
Mr Chang-gyu Park is licensed to practice in California (license number AC7022) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1861595951.
Healthcare Provider's Profile
| Full Name | Mr Chang-gyu Park |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 31 Years |
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| Location | 18361 Bear Valley Rd, Hesperia, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Chang-gyu Park attended and graduated from Palmer College Chiropractic - West Sunnyvale in 1993
NPI Data:
- NPI Number: 1861595951
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608039656
- Enrollment ID: I20120531000516
Medical Identifiers
Medical identifiers for Mr Chang-gyu Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861595951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC25780 (California) | Primary |
| 171100000X | Acupuncturist | AC7022 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Chang-gyu Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Chang-gyu Park, DC
18361 Bear Valley Rd, Suite 6,
Hesperia, CA 92345
Ph: (760) 948-0353 | Mr Chang-gyu Park, DC
18361 Bear Valley Rd, Suite 6,
Hesperia, CA 92345
Ph: (760) 948-0353 |
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