CA Wall License 1455 Information
| Name | Park Richard |
| License Number | 1455 |
| Individual or Organization | O |
| Address | 3325 Wilshire Blvd 215 Los Angeles, CA 90010 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 9/28/2021 |
| License Expiration Date | 10/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |