YUNCHUL JOHN PAK MD INC (NPI# 1467504225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467504225 |
| Entity Type | Organization |
| Organization Name | YUNCHUL JOHN PAK MD INC |
| Practice Address |
1433 W Merced Ave #205 West Covina CA 91790 |
| Practice Telephone | 6263377267 |
| Practice Fax Number | 6263376847 |
| Mailing Telephone | 6263377267 |
| Mailing Fax Number | 6263376847 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2014-08-19 |
| NPI Deactivation Date | 08/07/2013 |
| NPI Reactivation Date | 2014-08-19 |
| Authorized Official Name | YUNCHUL JOHN PAK (EMPLOYER OWNER) |
| Authorized Official Telephone | 6263377267 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A38260 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1433 W MERCED AVE #205 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528054418 | Carlos Beharie Md | Obstetrics & Gynecology | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2005-09-26 |
| 1770065294 | Sarah Chunping Gao | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2018-08-30 |
| 1720474257 | Nelly Parayno | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2015-04-10 |
| 1396151015 | Nelly A. Parayno, D.m.d., Inc. | Dentist | 1433 W Merced Ave, Suite 206, West Covina, CA 91790-3402 | 2014-07-02 |
| 1780004010 | John Kim, M.d.a Professional Corporation | Family Medicine | 1433 W Merced Ave, Suit #311, West Covina, CA 91790-3402 | 2014-04-25 |
| 1417370289 | Mayra Elizabeth Sohn | Nurse Practitioner | 1433 W Merced Ave, West Covina, CA 91790-3402 | 2014-01-29 |
| 1457608580 | Just 4 Kids Pediatrics, Inc | Pediatrics | 1433 W Merced Ave, Ste 103, West Covina, CA 91790 | 2012-08-08 |
| 1033472758 | Jui Lien Chen | Acupuncturist | 1433 W Merced Ave, Ste 309, West Covina, CA 91790-3402 | 2012-06-18 |
| 1548435092 | Ileana Reit | Nurse Practitioner | 1433 W Merced Ave, #103, West Covina, CA 91790-3402 | 2008-04-25 |
| 1639352446 | Harry E Confer Dpm A Professional Corp | Podiatrist | 1433 W Merced Ave, Suite 310, West Covina, CA 91790-3402 | 2007-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982093761 | Tina Lai Wong | Pediatrics | 2657 E Charlinda St, West Covina, CA 91791-2901 | 2015-01-15 |
| 1003188160 | Mayflower Medical Group, Inc. | Pediatrics | 140 N Orange Ave., Suite 100, West Covina, CA 91790-2032 | 2012-02-06 |
| 1639223837 | Yunchul John Pak | Pediatrics | 1433 W Merced Ave #205, West Covina, CA 91790 | 2007-01-23 |
| 1275690927 | Kim Associates Medical Clinic, Inc. | Pediatrics | 1433 W Merced Ave Ste 217, West Covina, CA 91790-3402 | 2007-01-02 |
| 1366518342 | Pankaj Nanubhai Mistry | Pediatrics | 933 S Sunset Ave Ste 101, West Covina, CA 91790-3410 | 2006-11-28 |
| 1336227594 | Harbhajan Kalsi Hanjan | Pediatrics | 906 South Sunset Ave, Suite 105, West Covina, CA 91790-3400 | 2006-11-02 |
| 1417031642 | Rosa Go Cu | Pediatrics | 933 S Sunset Ave #206, West Covina, CA 91790 | 2006-10-24 |
| 1508953894 | Eva Y Chan | Pediatrics | 2707 E Valley Blvd Ste 215, West Covina, CA 91792-3197 | 2006-10-06 |
| 1447277413 | Aarti Kulshrestha | Pediatrics | 1433 W Merced Ave Ste 103, West Covina, CA 91790 | 2006-07-16 |
| 1376543389 | Linda Yang | Pediatrics | 1135 S. Sunset Ave., West Covina, CA 91790 | 2005-08-01 |
| Find all providers in WEST COVINA | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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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.