DR. EDWARD HYUNJOON PARK (NPI# 1447344429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447344429 |
| Entity Type | Individual |
| Full Name | DR. EDWARD HYUNJOON PARK |
| Credential | M.D. |
| Practice Address |
1330 San Bernardino Rd Suite C Upland CA 91786-4928 |
| Practice Telephone | 9099818985 |
| Practice Fax Number | 9099494550 |
| Mailing Telephone | 9099818985 |
| Mailing Fax Number | 9099494550 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A75993 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851420350 | Edward Sung Joon Park | Pharmacist | 5939 Harry Hines Blvd Ste 845, Dallas, TX 75235-6248 | 2007-03-02 |
| 1982678447 | Edward H Park | Physical Therapist | 10080 N Wolfe Rd, Sw3-100, Cupertino, CA 95014-2515 | 2006-02-13 |
| 1285255570 | Edward Park | Student in an Organized Health Care Education/Training Program | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2020-04-28 |
| 1033669064 | Edward Park | Pharmacist | 18600 S Figueroa St, Gardena, CA 90248-4505 | 2016-10-14 |
| 1811390461 | Edward Park | Dentist | 793 Centre St, Jamaica Plain, MA 02130-2736 | 2014-09-26 |
| 1245640374 | Edward Park | Anesthesiology | 8901 Wisconsin Ave, Walter Reed National Military Medical Center, Bethesda, MD 20889-0004 | 2014-04-29 |
| 1366795106 | Edward J Park | Urology | 3771 Katella Ave Ste 210, Los Alamitos, CA 90720 | 2012-10-17 |
| 1396907317 | Edward Park | Internal Medicine | 413 Lilly Rd Ne, Olympia, WA 98506-5133 | 2008-07-01 |
| 1790977791 | Edward Chul Park | Dentist | 6950 Ne Campus Way, Hillsboro, OR 97124-5611 | 2007-08-14 |
| 1740368984 | Edward Henry Park | Obstetrics & Gynecology | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2006-11-02 |
| Street Address |
1330 SAN BERNARDINO RD SUITE C |
| City | UPLAND |
| State | CA |
| Zip Code | 91786-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105715 | Stuart A Mccarthy | Otolaryngology | 1330 San Bernardino Rd, Ste J, Upland, CA 91786-4980 | 2005-06-24 |
| 1457696650 | Facenbody Surgery Center, Inc | Clinic/Center | 1330 San Bernardino Rd, Suite C, Upland, CA 91786-4928 | 2012-11-29 |
| 1386890044 | Gregory K. Suelzle, M.d., A Medical Corporation | Family Medicine | 1330 San Bernardino Rd, Suite B, Upland, CA 91786-4928 | 2008-08-13 |
| 1508051566 | Bhupal Kommineni, M.d. Inc. | Internal Medicine | 1330 San Bernardino Rd, Suite G., Upland, CA 91786-4928 | 2007-09-12 |
| 1275672958 | John D Sauter Dds Mds Ortho Dental Gp Inc | Dentist | 1330 San Bernardino Rd, Suite I, Upland, CA 91786 | 2007-02-06 |
| 1063575926 | Robert H. Sorosky M.d. Inc. | Specialist | 1330 San Bernardino Rd, Ste. C, Upland, CA 91786-4928 | 2006-12-19 |
| 1619073400 | Bryan Scott Taylor | Anesthesiology | 1330 San Bernardino Rd, Suite F, Upland, CA 91786-4928 | 2006-09-16 |
| 1124047758 | Nalini Garg | Anesthesiology | 1330 San Bernardino Rd, Upland, CA 91786-4928 | 2006-07-18 |
| 1073538476 | Robert Hale Sorosky | Specialist | 1330 San Bernardino Rd, Suite C, Upland, CA 91786-4928 | 2006-07-13 |
| 1467414524 | Frank S Seo | Dentist | 1330 San Bernardino Rd, Suite A, Upland, CA 91786-4928 | 2006-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093254 | California Clinics, Inc | Physical Medicine & Rehabilitation | 818 N Mountain Ave Ste 102, Upland, CA 91786 | 2019-09-23 |
| 1699231621 | Lynn Keitz | Nurse Practitioner | 360 East 7th Street, Suite D, Upland, CA 91786 | 2019-02-14 |
| 1003386608 | Devin A Lockett | Counselor | 916 N, Mountain Ave. Suite D-1, Upland, CA 91786 | 2018-11-27 |
| 1265900096 | Right Ride | Driver | 1023 West Arrow Hwy Apt A, Upland, CA 91786 | 2018-11-09 |
| 1689142069 | Mike Sedat Safi | Driver | 1023 W Arrow Hwy, Apt A, Upland, CA 91786 | 2018-11-05 |
| 1902373640 | Barsoum Dental | Dentist | 258 E. 9th Street, Upland, CA 91786 | 2018-10-31 |
| 1346736600 | Jennifer Lynn Henshaw | Counselor | Rosewood Counseling Center, 288 W 9th Street, Upland, CA 91786 | 2018-07-10 |
| 1972099521 | Sadeg Aldolaim | Nurse Practitioner | 2086 W Arrow Route, Apt 824, Upland, CA 91786 | 2018-07-06 |
| 1831607332 | Sandra Sun | Pharmacist | 1445 E. Foothill Blvd., Upland, CA 91786 | 2018-01-18 |
| 1841713625 | Dynamic Performance Physical Therapy Inc | Clinic/Center | 2377 W. Foothill Blvd, Ste 20, Upland, CA 91786 | 2017-07-24 |
| Find all providers in zip 91786 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509146 | Divine Electrolysis LLC | Specialist | 111 N Benson Ave, Upland, CA 91786-5677 | 2020-05-07 |
| 1558981332 | Araceli Gadea | Specialist | 111 N Benson Ave Ste A, Upland, CA 91786-5677 | 2020-04-21 |
| 1376999177 | Matthew Callan | Specialist | 818 N Mountain Ave Ste 207, Upland, CA 91786-4165 | 2016-05-11 |
| 1922466929 | Neuro Medical Services, Inc. | Specialist | 154-a W. Foothill Blvd, Suite 406, Upland, CA 91786 | 2016-02-04 |
| 1760817670 | Advantage Vaccination Services | Specialist | 270 E 7th St Ste 2c, Upland, CA 91786 | 2013-09-10 |
| 1114201126 | Arturo Chu Uy Jr. | Specialist | 170 W. 24th Street, Upland, CA 91784-1162 | 2011-10-10 |
| 1962721662 | Vincent Joseph Carollo | Specialist | 1643 N 1st Ave, Upland, CA 91784-2006 | 2010-05-20 |
| 1760716278 | Sun Coast West Medical Clinic, Inc. | Specialist | 1045 W Foothill Blvd, Upland, CA 91786-3731 | 2009-09-30 |
| 1730324443 | Edward H. Park Md., A Medical Corporation | Specialist | 1330 San Bernardino Rd Ste C, Upland, CA 91786-4980 | 2008-12-09 |
| 1245418896 | Renee Denise Flanagan | Specialist | 400 N Mountain Ave Ste 222, Upland, CA 91786-5191 | 2008-02-06 |
| Find all providers in UPLAND | ||||
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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.