MR. JAE Y PARK (NPI# 1699750182) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699750182 |
| Entity Type | Individual |
| Full Name | MR. JAE Y PARK |
| Credential | RPH |
| Practice Address |
3307 W Pico Bl Los Angeles CA 90019-4530 |
| Practice Telephone | 3237341177 |
| Practice Fax Number | 3237341178 |
| Mailing Telephone | 3237341177 |
| Mailing Fax Number | 3237341178 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PHY44525 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA 445250 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110781 | Jae H Park | Dentist | 1637 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2018-10-23 |
| 1720506314 | Jae Y Park | Registered Nurse | 1103 10th St Nw, Rochester, MN 55901-1756 | 2017-09-02 |
| 1861649881 | Jae Hyun Park | Acupuncturist | 3020 Wilshire Blvd Ste 222, Los Angeles, CA 90010 | 2008-08-20 |
| 1811065238 | Jae Hyun Park | Dentist | 3155 W Indian School Rd, Western Dental Orthodontic Office, Phoenix, AZ 85017-4035 | 2006-12-01 |
| 1700977543 | Jae Ho Park | Dentist | 3123 W Olympic Blvd, Los Angeles, CA 90006-2462 | 2006-09-27 |
| 1144329723 | Jae H Park | Chiropractor | 4840 Irvine Blvd, #203, Irvine, CA 92620-1962 | 2006-09-21 |
| 1780621805 | Jae O Park | Internal Medicine | 14455 Sw Allen Blvd, Suite 101, Beaverton, OR 97005-4428 | 2006-05-31 |
| 1285109504 | Jae Park | Acupuncturist | 320 Ward Ave Ste 205, Honolulu, HI 96814-4017 | 2018-10-12 |
| 1336649573 | Jae Hong Park | Dentist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2018-02-14 |
| 1750819652 | Jae Ho Park Sr. | Pharmacist | 254 N Western Ave, Los Angeles, CA 90004-4108 | 2017-05-23 |
| Street Address |
3307 W PICO BL |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90019-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386299139 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1302 South La Brea, Los Angeles, CA 90019 | 2019-08-08 |
| 1104383694 | 310 Recovery Inc. | Clinic/Center | 1723 1/2 Hauser Blvd, Los Angeles, CA 90019 | 2019-02-21 |
| 1184131328 | Sehyeong Son | Acupuncturist | 1722 Crenshaw Blvd, Los Angeles, CA 90019 | 2018-01-09 |
| 1285158154 | Vanessa A. Myrie | Social Worker | 5562 Packard St., Los Angeles, CA 90019 | 2017-08-01 |
| 1093241309 | Hamburger Home | Community/Behavioral Health | 4066 W. 17th Street, Los Angeles, CA 90019 | 2017-05-05 |
| 1639614779 | Jung Ho Kang | Acupuncturist | 903 S. Crenshaw Blvd #304a, Los Angeles, CA 90019 | 2016-12-28 |
| 1912353491 | Sung Won Lee | Acupuncturist | 4027 W. Pico Bl., Los Angeles, CA 90019 | 2016-05-13 |
| 1497188528 | Sfvcmhc | Community/Behavioral Health | 5754 San Vicente Blvd, 401, Los Angeles, CALIFORNIA 90019 | 2013-08-13 |
| 1467890160 | Denise Breheny | Lactation Consultant, Non-RN | 1053 Carmona Ave., Los Angeles, CA 90019 | 2013-06-05 |
| 1336483122 | Nancy Denise - Latten Davidson | Student in an Organized Health Care Education/Training Program | 4073-75 West Pico Blvd, Los Angeles, CA 90019 | 2012-11-16 |
| Find all providers in zip 90019 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889336 | D Zuniga | Pharmacist | 637 East 53rd Street, Los Angeles, CA 90011-4617 | 2020-10-23 |
| 1326645896 | Haik Ovsepyan | Pharmacist | 5181 Sunset Blvd, Los Angeles, CA 90027-5715 | 2020-10-07 |
| 1689271595 | Amany S Saad | Pharmacist | 4008 Rockwood St, Los Angeles, CA 90063-3521 | 2020-10-04 |
| 1558978254 | Daniel Jimyong Oh | Pharmacist | 947 S Hoover St Apt 203, Los Angeles, CA 90006-1932 | 2020-09-26 |
| 1578170437 | Sang Jin Park | Pharmacist | 504 S Manhattan Pl Apt 9, Los Angeles, CA 90020-4454 | 2020-09-24 |
| 1033725528 | Brandon Samson | Pharmacist | 4911 Townsend Ave, Los Angeles, CA 90041-2235 | 2020-09-20 |
| 1245843234 | Afsaneh Lari | Pharmacist | 1399 Roxbury Dr Ste 200, Los Angeles, CA 90035-4714 | 2020-08-28 |
| 1912519661 | Anahit Eranuhy Mestchyan | Pharmacist | 4355 Camero Ave, Los Angeles, CA 90027-5505 | 2020-08-22 |
| 1023629755 | Patricia Sherry Oto | Pharmacist | 2215 Alcazar St Apt 345, Los Angeles, CA 90033-1003 | 2020-08-15 |
| 1336764562 | Farbod Youshei | Pharmacist | 1905 Granville Ave, Los Angeles, CA 90025-1805 | 2020-06-12 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90019 |
Please comment or provide details below to improve the information on MR. JAE Y PARK.
| 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.