Individual provider · Type 1 NPI
Cheon Gyu Park, DC
Chiropractor · Fairfax, VA
NPI number
1649699109
Active
Practice location
3900 University Dr Ste 100
Fairfax, VA 22030-2513
Fax (571) 556-7075
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 0104557163 (VA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1649699109
Cheon Gyu Park, DC's National Provider Identifier is 1649699109, issued on Apr 14, 2014. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 20, 2026.