EUN KYUNG PARK (NPI# 1194226936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194226936 |
Entity Type | Individual |
Full Name | EUN KYUNG PARK |
Credential | GNP |
Practice Address |
209 W Alameda Ave Ste 101 Burbank CA 91502-3023 |
Mailing Address |
320 S Ardmore Ave Apt 234 Los Angeles CA 90020-3162 |
Practice Telephone | 8662273310 |
Mailing Telephone | 2134580703 |
Enumeration Date | 2018-02-27 |
Last Update Date | 2018-06-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
95007780 | CA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | CALIFORNIA BOARD OF NURSING | 95007780 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295087583 | Eun Young Park | Student in an Organized Health Care Education/Training Program | 2315 Poppy Hills Dr, Chula Vista, CA 91915-2176 | 2012-10-10 |
1982829636 | Eun J Park | Acupuncturist | 2920 F St Ste F11, Bakersfield, CA 93301-1829 | 2007-04-16 |
1710502026 | Eun Hae Park | Pharmacist | 2962 S Longhorn Dr, Lancaster, TX 75134-2118 | 2020-06-11 |
1154858132 | Eun Jung Park | Physical Therapy Assistant | 17042 Bellflower Blvd, Bellflower, CA 90706-5950 | 2017-05-22 |
1801144654 | Eun Hae Park | Occupational Therapist | 8111 Tis Well Dr, Rehabilitation Gym, Alexandria, VA 22306-3211 | 2012-08-28 |
1255581823 | Eun Young Park | Acupuncturist | 5524 Pacific Blvd, Huntington Park, CA 90255-2535 | 2008-09-19 |
1316122336 | Eun K. Park | Psychiatry & Neurology | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2008-01-09 |
1992905541 | Eun Mi Park | Dentist | 30 E 37th St, New York, NY 10016-3019 | 2007-07-23 |
Street Address |
209 W ALAMEDA AVE STE 101 |
City | BURBANK |
State | CA |
Zip Code | 91502-3023 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689211658 | 1st Response Hospice, Inc. | Hospice Care, Community Based | 801 S Glenoaks Blvd Suite 200, Glendale, CA 91502 | 2019-12-09 |
1588216816 | Brookdale Hospice, Inc. | Home Health | 3089 N. Lima St. # F, Burbank, CA 91502 | 2019-07-16 |
1386200251 | Bestcare Transportation LLC. | Non-emergency Medical Transport (VAN) | 40 E. Verdugo Ave., Burbank, CA 91502 | 2019-05-15 |
1548619331 | Natalie Gold, Inc. | Pharmacy | 140 N. San Fernando Rd, Burbank, CA 91502 | 2016-06-13 |
1437578291 | Advance Sleep Center Inc | Specialist/Technologist, Other | 325 N Victory Blvd, Burbank, CA 91502 | 2014-04-09 |
1225397086 | Burbank Village Compounding Pharmacy Inc | Pharmacy | 337 E Magnolia Blvd, Burbank, CA 91502 | 2012-05-14 |
1942570015 | Urgent Hospice Care Inc | Home Health | 224 E. Olive St #216, Burbank, CA 91502 | 2012-01-06 |
1750659306 | Encore Hospice Corp | Home Health | 271 W. Alameda Ave, Burbank, CA 91502 | 2011-12-12 |
1255615548 | California Hospice Corp | Hospice Care, Community Based | 905 S. Lake St, Suite 201 and 202 and 202, Burbank, CA 91502 | 2011-10-05 |
1154609808 | Arin Hayrapetian | Dentist | 635 N Victory Pl, Burbank, CA 91502 | 2011-07-29 |
Find all providers in zip 91502 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851836894 | Kimberly Ann De Jesus Geraldez | Nurse Practitioner | 201 S Buena Vista St Ste 100, Burbank, CA 91505-4570 | 2016-12-29 |
1366992489 | Shawn O'malley | Nurse Practitioner | 365 W Linden Ave, Burbank, CA 91506-3319 | 2016-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
Find all providers with the same taxonomy |
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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.