JOONG YOUNG PARK M.D. INC. (NPI# 1104014034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104014034 |
| Entity Type | Organization |
| Organization Name | JOONG YOUNG PARK M.D. INC. |
| Practice Address |
9535 Garden Grove Blvd Ste 104 Garden Grove CA 92844-1551 |
| Practice Telephone | 7145341112 |
| Practice Fax Number | 7145341116 |
| Mailing Telephone | 7145341112 |
| Mailing Fax Number | 7145341116 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2009-09-16 |
| Authorized Official Name | DR. JOONG YOUNG PARK (PRESIDENT) |
| Authorized Official Telephone | 7145341112 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A39059 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A390590 | 05 |
| Street Address |
9535 GARDEN GROVE BLVD STE 104 |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92844-1551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346720042 | 4 U Dental | Dentist | 9363 Garden Grove Blvd #3, Garden Grove, CA 92844 | 2018-08-21 |
| 1578057717 | Jennifer Nd Hoang | Optometrist | 8942 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 | 2018-06-20 |
| 1649798612 | Boan Optometry Inc. | Optometrist | 8942 Garden Grove Blvd., Ste 104, Garden Grove, CA 92844 | 2017-08-30 |
| 1811348329 | Dongsam Cho I | Acupuncturist | 8736 Garden Grove Blvd, Garden Grove, CA 92844 | 2016-06-27 |
| 1225417124 | Traci Ngan Le | Registered Nurse | 9191 Westminster Ave Ste 209, Garden Grove, CA 92844 | 2015-05-25 |
| 1932465622 | Dong J. Yoo | Dentist | 8471 Garden Grove Blvd., Garden Grove, CA 92844 | 2012-04-06 |
| 1932470788 | Dang Bao Nguyen | Physician Assistant | 9191 Wesminster Ave, Garden Grove, CA 92844 | 2012-01-24 |
| 1003116013 | In Sook Lim | Acupuncturist | 9796 Garden Grove Blvd, Garden Grove, CA 92844 | 2010-10-25 |
| 1881905339 | Kris Acupuncture, Inc | Acupuncturist | 8322 Garden Grove Bl, Garden Grove, CA 92844 | 2010-06-30 |
| 1346572906 | Myloc Thi Nguyen | Dentist | 13212 Magnolia St #c8, Garden Grove, CA 92844 | 2010-02-08 |
| Find all providers in zip 92844 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498177 | Global Telecare, Inc. | General Practice | 12522 Brookhurst St Ste D, Garden Grove, CA 92840-4854 | 2018-12-16 |
| 1891945846 | Thien An Medical Center, Inc | General Practice | 12541 Brookhurst St Ste 101, Garden Grove, CA 92840-4858 | 2008-09-26 |
| 1972775872 | H. James Kojian II, M.d., Inc. | General Practice | 11873 Valley View St, Garden Grove, CA 92845-1236 | 2008-03-31 |
| 1518138015 | Tung Phan Md Inc | General Practice | 10152 Westminster Ave, Garden Grove, CA 92843-4754 | 2008-03-12 |
| 1275612665 | Magnolia Medical Group, Inc. | General Practice | 12921 Fern St Ste E, Garden Grove, CA 92841-4300 | 2006-11-04 |
| 1285725051 | Kwang Sook Kim | General Practice | 9636 Garden Grove Blvd # 16, Garden Grove, CA 92844-1530 | 2006-09-27 |
| 1235231333 | Minh Ngoc Dang | General Practice | 12302 Garden Grove Boulevard, Ste #7, Garden Grove, CA 92843-1835 | 2006-09-01 |
| 1831208065 | Byung H Pak | General Practice | 9012 Garden Grove Blvd, Suite 101, Garden Grove, CA 92844-1321 | 2006-08-30 |
| 1841216801 | Du Quang Tran | General Practice | 10090 Westminster Ave, Garden Grove, CA 92843 | 2006-07-14 |
| 1700445871 | Renewed Strength Medical Group | General Practice | 13252 Garden Grove Blvd Ste 112, Garden Grove, CA 92843-2270 | 2019-06-11 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92844 |
Please comment or provide details below to improve the information on JOONG YOUNG PARK M.D. INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.