CA Wall License 963 Information
| Name | Jiyeon Park |
| License Number | 963 |
| Individual or Organization | O |
| Address | 366 San Miguel Dr Ste 300
Newport Beach, CA 92660 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 8/3/2021 |
| License Expiration Date | 8/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |