BONG PARK (NPI# 1326148719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326148719 |
| Entity Type | Individual |
| Full Name | BONG PARK |
| Practice Address |
16111 Plummer St. North Hills CA 91343 |
| Mailing Address |
12056 Gerald Ave Granada Hills CA 91344 |
| Practice Telephone | 8188917711 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
42831 | CA | Pharmacy Service Providers |
| Street Address |
16111 PLUMMER ST. |
| City | NORTH HILLS |
| State | CA |
| Zip Code | 91343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019152 | Joel Austin Krejmas | Student in an Organized Health Care Education/Training Program | 16111 Plummer St., Sepulveda Ambulatory Care Center, Dental Service (160), North Hills, CA 91343 | 2020-03-25 |
| 1376810929 | Annemarie Scipioni | Social Worker | 16111 Plummer St., Social Work Service (122), Building 20 Room B-104a, North Hills, CA 91343 | 2011-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261681 | Esperanza Armenta | Case Manager/Care Coordinator | 16861 Parthenia Street, North Hills, CA 91343 | 2020-09-30 |
| 1295355758 | Island One and Associates | Social Worker | 9528 Lemona Ave, North Hills, CA 91343 | 2020-04-24 |
| 1154951416 | Estefanie Ramos | Case Manager/Care Coordinator | 16861 Parthenia St., North Hills, CA 91343 | 2020-01-24 |
| 1336793728 | Mitra Minovi | Dentist | 9444 Ruffner Ave, Northridge, CA 91343 | 2019-07-24 |
| 1649762600 | Reza Akbar, Dds, Inc. | Dentist | 15300 Parthenia St, North Hills, CA 91343 | 2018-06-05 |
| 1073002663 | Golmah Zarinkhou | Student in an Organized Health Care Education/Training Program | Va Sepulveda Ambulatory Care Center, 16111 Plummer, Street Dental Services (160), Bldg 10 Rm 1c-100, North Hills, CA 91343 | 2018-05-09 |
| 1740729037 | Ophelia Sanchez | Case Manager/Care Coordinator | 15305 Rayen, North Hills, CA 91343 | 2017-02-20 |
| 1386001519 | Ada Angeles | Dietitian, Registered | 15210 Parthenia, North Hills, CA 91343 | 2016-01-19 |
| 1043691371 | Valley Grace Home, Inc. | Skilled Nursing Facility | 16052 Chase St, North Hills, CA 91343 | 2015-06-11 |
| 1063828234 | Joshua Tree Healthcare, Inc. | Home Health | 16909 Parthenia St Ste 302a, Northridge, CA 91343 | 2014-07-08 |
| Find all providers in zip 91343 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003992280 | Sue Y Yim | Pharmacist | 16111 Plummer Street #119, North Hills, CA 91343 | 2006-10-31 |
| 1710480561 | Stephanie Sophia Averbukh | Pharmacist | 16673 Roscoe Blvd, North Hills, CA 91343-6109 | 2018-03-16 |
| 1629571476 | Naomi Parvizi | Pharmacist | 16673 Roscoe Blvd, North Hills, CA 91343-6109 | 2018-03-16 |
| 1326144528 | Linh Dieu Nguyen | Pharmacist | 16111 Plummer St, Sepulveda Va Medical Center, North Hills, CA 91343 | 2006-09-15 |
| 1306941141 | Julie Y Oh | Pharmacist | 16111 Plummer St, North Hills, CA 91343-2036 | 2006-09-14 |
| 1215032628 | Nenita A Gonzales | Pharmacist | 16111 Plummer St, North Hills, CA 91343-2036 | 2006-09-13 |
| 1639273659 | Allen Amirant | Pharmacist | 16111 Plummer St, North Hills, CA 91343-2036 | 2006-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594587 | Tsunnum Uzma Malik | Pharmacist | 2527 Royalridge Way, Santa Clara, CA 95051-1243 | 2020-06-26 |
| 1710515580 | Danny Situ | Pharmacist | 261 Capistrano Ave, San Francisco, CA 94112-2501 | 2020-03-29 |
| 1215492277 | En Chiang | Pharmacist | 300 Stein Plaza (wasserman Building) Room 123, Los Angeles, CA 90095-0001 | 2019-02-04 |
| 1366910325 | Queenie Hip Ying Wan | Pharmacist | 13059 Hedda Ln, Cerritos, CA 90703-6145 | 2018-11-07 |
| 1487120861 | Amanda Ju Chuan Chao | Pharmacist | 10964 Wellworth Ave Apt 303, Los Angeles, CA 90024-6230 | 2018-10-23 |
| 1104333772 | Patricia Lee Mcnamee | Pharmacist | 18325 Coastline Dr, Malibu, CA 90265-5729 | 2018-01-04 |
| 1235655457 | Joseph P Gee | Pharmacist | Cosumnes River College Pharmacy Technology Program, 8401 Center Parkway, Sacramento, CA 95823 | 2017-08-18 |
| 1275075087 | Erzsebet Gyorfi-miglecz | Pharmacist | 24236 Bella Ct, Newhall, CA 91321-3923 | 2016-11-10 |
| 1245787035 | Nina Michelle Bemben | Pharmacist | 555 Mission Rock St, #507, San Francisco, CA 94158-2119 | 2016-09-08 |
| 1861845273 | Vahid Bordbar | Pharmacist | 2325 Palos Verdes Dr W Ste 220, Palos Verdes Estates, CA 90274-2777 | 2016-07-20 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HILLS |
| Zip Code | 91343 |
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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.