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JOONG Y PARK M D MEDICAL CORP NPI 1265716229


NPI Information

NPI: 1265716229
Provider Name: JOONG Y PARK M D MEDICAL CORP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
9828 GARDEN GROVE BLVD STE 201
GARDEN GROVE, CA
ZIP 92844
Phone: (714) 530-9633
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JOONG Y PARK M D MEDICAL CORP is a general practice in Garden Grove, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JOONG Y PARK M D MEDICAL CORP NPI is 1265716229. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9828 GARDEN GROVE BLVD STE 201
GARDEN GROVE, CA
ZIP 92844-659
Phone: (714) 530-9633

The provider's authorized official is Joong Y Park .
The authorized official title is Md and has the following contact phone number (714) 530-9633.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 11/3/2016.


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
1208D00000XGeneral PracticeYes

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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