DR. YONG HOON PARK (NPI# 1205815107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205815107 |
| Entity Type | Individual |
| Full Name | DR. YONG HOON PARK |
| Credential | MD. |
| Practice Address |
12401 East Washington Blvd. Whittier CA 90602-1006 |
| Mailing Address |
Po Box 511228 Los Angeles CA 90051-3026 |
| Practice Telephone | 5626980811 |
| Practice Fax Number | 5623068200 |
| Mailing Telephone | 5626980811 |
| Mailing Fax Number | 5623098200 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2014-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
G75600 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
8171 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | BLUE | NV9189 | 01 |
| CA | 00G756000 | 05 | |
| CA | RR MEDICARE | P00664706 | 01 |
| NV | 200290212 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1972027225 | Yong Suel Park | Dentist | 292 Route 94, Vernon, NJ 07462-3181 | 2017-07-28 |
| 1699047407 | Yong Hoon Park | Acupuncturist | 1911 Commercenter East, Suite 107, San Bernardino, CA 92408 | 2012-02-09 |
| 1316238470 | Yong Hwa Park | General Practice | 25676 Island Lake Dr, Novi, MI 48374-2175 | 2011-04-25 |
| 1154560696 | Yong Woon Park | Chiropractor | 5049 Birchwood Ave, Skokie, IL 60077-3349 | 2009-02-06 |
| 1205984317 | Yong J Park | Optometrist | 2609 Foothill Blvd, La Crescenta, CA 91214-3511 | 2007-01-08 |
| 1205913761 | Yong Park | Emergency Medicine | 506 4th St Nw, Jasper, FL 32052-6603 | 2006-11-01 |
| 1497869499 | Yong Ho Park | Surgery | 501 West Riverside Avenue, Superior, MT 59872-0847 | 2006-08-18 |
| 1811374325 | Yong Park | Pharmacist | 520 W Washington St, Sequim, WA 98382-3279 | 2015-05-05 |
| 1922388404 | Yong J Park | Pharmacist | 4801 N Lincoln Ave, Chicago, IL 60625-1915 | 2011-08-28 |
| Street Address |
12401 EAST WASHINGTON BLVD. |
| City | WHITTIER |
| State | CA |
| Zip Code | 90602-1006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013991116 | William S.m. Shanahan | Radiology | 12401 East Washington Blvd., Presbyterian Intercommunity Hosp-radiology Department, Whittier, CA 90602-1006 | 2005-12-01 |
| 1245389154 | Daniel David Saket | Radiology | 12401 East Washington Blvd., Whittier, CA 90602-1006 | 2007-01-09 |
| 1730273251 | James D. Howard, M.d., Inc. | Anesthesiology | 12401 East Washington Blvd., Whittier, CA 90602 | 2006-10-02 |
| 1639128242 | Joel Bennett Garris | Radiology | 12401 East Washington Blvd., Whittier, CA 90602-1006 | 2006-05-09 |
| 1417913872 | Robert Michael Kleinman | Radiology | 12401 East Washington Blvd., Whittier, CA 90602-1006 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346896412 | Alexis Pettway | Specialist/Technologist | 13847 Earlham Drive, Whittier, CA 90602 | 2019-08-14 |
| 1053898486 | Bridget Joanne Islas | Case Manager/Care Coordinator | 8219 Milton Ave., Apt. D, Whittier, CA 90602 | 2018-07-27 |
| 1184175606 | Metzie America Moran | Specialist | 8135 Painter Ave Suite 201, Whittier, CA 90602 | 2016-10-19 |
| 1811348360 | Jasmine Renee Simmons | Speech-Language Pathologist | 8135 Painter Avenue, Suite #200, Whittier, CA 90602 | 2016-06-27 |
| 1194108084 | Aaronshawn Poolsaad | Optometrist | 8135 Painter Ave Ste 100, Whittier, CA 90602 | 2015-07-09 |
| 1124409677 | Alliance Orthotics & Prosthetics Inc. | Clinic/Center | 12458 East Washington Blvd, Whittier, CA 90602 | 2015-06-10 |
| 1205223567 | Maria Ursula Jarrin Lopez | Speech-Language Pathologist | 8135 Painter Avenue, Suite 201, Whittier, CA 90602 | 2015-04-23 |
| 1932595055 | Sotto Lin Weng | Acupuncturist | 7754 Painter Avenue, Whittier, CA 90602 | 2015-04-15 |
| 1770978660 | Carolyn Rumpeltes | Physician Assistant | 12462 Putnam St Ste 203, Whittier, CA 90602 | 2015-03-30 |
| 1609273671 | Anthony Razon | Specialist/Technologist | 8132 Painter Ave Ste 201, Whittier, CA 90602 | 2014-11-19 |
| Find all providers in zip 90602 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134739949 | Ava Vascular | Radiology | 1281 W. C. Street, Suite 200, Colton, CA 92324 | 2020-08-06 |
| 1306467204 | Saleh Radiology of Inland Empire | Radiology | 15276 Ledgestone St, Fontana, CA 92336-4048 | 2020-05-01 |
| 1366084535 | Luo Xu | Radiology | 757 Westwood Plz # 2146, Los Angeles, CA 90095-8358 | 2019-10-09 |
| 1346717824 | Cvs Medical Group, Inc | Radiology | 201 W Garvey Ave Ste 102-502, Monterey Park, CA 91754-7418 | 2018-11-01 |
| 1407353675 | Art Vascular & Interventional Associates Inc | Radiology | 324 S Beverly Dr Ste 345, Beverly Hills, CA 90212-4801 | 2018-04-12 |
| 1568971869 | Broad Reach Specialty Surgery Inc | Radiology | 8117 West Manchester Ave, Ste 368, Playa Del Rey, CA 90293 | 2017-09-29 |
| 1407393754 | Valley Vascular Partners Inc | Radiology | 19231 Victory Blvd Ste 155, Reseda, CA 91335-6329 | 2017-01-25 |
| 1124497342 | Neurointerventional Surgery Consultants, PC | Radiology | 534 S Brea Blvd, Brea, CA 92821-5304 | 2015-09-17 |
| 1578946026 | Clarity Radiology, LLC | Radiology | 39 Via Navarro, Greenbrae, CA 94904-1215 | 2015-07-01 |
| 1669863981 | Pedes Vascular San Fernando Valley | Radiology | 16260 Ventura Boulevard, Suite 210, Encino, CA 91436-2203 | 2015-02-09 |
| 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.