JUNGHOON PARK NP NPI 1093111627

NPI Information

  • NPI: 1093111627
  • Provider Name: JUNGHOON PARK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3663 W 6TH ST STE 103
    LOS ANGELES, CA
    ZIP 90020
  • Phone: (213) 388-5144

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NPI Details

Junghoon Park, NP is a family nurse practitioner in Los Angeles, CA with 11 years of experience. Junghoon Park, NP NPI is 1093111627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3663 W 6TH ST STE 103
LOS ANGELES, CA
ZIP 90020-047
Phone: (213) 388-5144
Fax: (213) 388-5154

The NPI 1093111627 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2014 and was last updated on 3/7/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95011804CALIFORNIANo
2363LF0000XNurse PractitionerFamilyF339257-1NEW YORKYes

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: 3/30/2025

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