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SUNG-UN JUSTIN PARK M.D. INC. NPI 1750578761


NPI Information

NPI: 1750578761
Provider Name: SUNG-UN JUSTIN PARK M.D., INC.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
3055 W ORANGE AVE STE 101
ANAHEIM, CA
ZIP 92804
Phone: (714) 484-8054
Get Directions

SUNG-UN JUSTIN PARK M.D., INC. is a neurology psychiatry neurology in Anaheim, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. SUNG-UN JUSTIN PARK M.D., INC. NPI is 1750578761. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3055 W ORANGE AVE STE 101
ANAHEIM, CA
ZIP 92804-152
Phone: (714) 484-8054
Fax: (714) 484-8072

The provider's authorized official is Candice Park .
The authorized official title is Office Manager and has the following contact phone number (714) 484-8054.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 5/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurologyA48704CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A487041MEDICAIDCALIFORNIA
2A48704OTHERCALIFORNIALICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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