Search › California › 171100000X
Kwan Park, L.AC
NPI 1588990840 · on the registry since 2009
Practice
- Address
- 17 Spectrum Pointe Dr
506
Lake Forest, CA 92630 - Phone
- (949) 533-6699
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California