DR. EDWARD HENRY PARK (NPI# 1740368984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740368984 |
| Entity Type | Individual |
| Full Name | DR. EDWARD HENRY PARK |
| Credential | MD |
| Practice Address |
800 N Tustin Ave Ste M Santa Ana CA 92705-3605 |
| Practice Telephone | 7142850747 |
| Practice Fax Number | 7142851747 |
| Mailing Telephone | 7142850747 |
| Mailing Fax Number | 7142851747 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G83999 | CA | Allopathic & Osteopathic Physicians |
| 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 |
| 1447344429 | Edward Hyunjoon Park | Specialist | 1330 San Bernardino Rd, Suite C, Upland, CA 91786-4928 | 2006-10-03 |
| Street Address |
800 N TUSTIN AVE STE M |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92705-3605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891873014 | Preferred Health Partners, Inc. | Obstetrics & Gynecology | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2006-11-02 |
| 1053975052 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2019-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1477186625 | Joyce Altman Interpreters, Inc. | Interpreter | 1971 East 4th Street, Ste 206, Santa Ana, CA 92705 | 2020-02-17 |
| 1588214688 | Cindy Mejia | Behavior Technician | 505 N. Tustin Ave., #152, Santa Ana, CA 92705 | 2019-09-19 |
| 1588210504 | Jennifer Ang Lim-quevedo | Nurse Practitioner | 18362 Whitney Dr, Santa Ana, CA 92705 | 2019-08-15 |
| 1962056820 | Melinda Acosta Black | Social Worker | 1526 Brookhollow Drive, Santa Ana, CA 92705 | 2019-07-30 |
| 1972069631 | Amy Marie Elit | Nurse Practitioner | 1751 E Harry Ave, Santa Ana, CA 92705 | 2019-02-18 |
| 1386118180 | Unified Behavioral Health, LLC | Substance Abuse Rehabilitation Facility | 1218 W Santa Ana Blvd, Santa Ana, CA 92705 | 2019-01-15 |
| 1952884736 | Javier Perales | Social Worker | 1652 Windsor Ln, Santa Ana, CA 92705 | 2018-09-08 |
| 1073009700 | Eva E Kuncewicki | Marriage & Family Therapist | 1001 S Grand Ave # B, Santa Ana, CA 92705 | 2018-07-05 |
| 1487149886 | Nimbus Medtransport Inc. | Non-emergency Medical Transport (VAN) | 2112 E 4th St Ste 235, Santa Ana, CA 92705 | 2018-06-27 |
| Find all providers in zip 92705 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659832491 | Skyline Surgical Consulting | Obstetrics & Gynecology | 770 W Aster Pl, Santa Ana, CA 92706-1166 | 2019-03-26 |
| 1275953325 | Hyung O. Kim, M. D. Inc. | Obstetrics & Gynecology | 2621 S Bristol St Ste 300-302, Santa Ana, CA 92704-5766 | 2014-04-16 |
| 1235429663 | William Ryan Gallivan Sr. | Obstetrics & Gynecology | 1912 N Heliotrope Dr, Santa Ana, CA 92706-2538 | 2011-04-19 |
| 1578756581 | George James Kallins | Obstetrics & Gynecology | 3720 S Susan St, Santa Ana, CA 92704-6967 | 2007-08-22 |
| 1578619243 | Debora Sanam Sedaghat | Obstetrics & Gynecology | 520 N. Main St., Suite 100, Santa Ana, CA 92701 | 2007-01-26 |
| 1194871137 | Community Care Health Centers | Obstetrics & Gynecology | 1241 W 17th St, Suite 1, Santa Ana, CA 92706-3459 | 2007-01-25 |
| 1588725832 | Pratibha Ramesh Desai | Obstetrics & Gynecology | 1725 W 17th Street, Health Care Agency, Santa Ana, CA 92706 | 2006-12-12 |
| 1891873014 | Preferred Health Partners, Inc. | Obstetrics & Gynecology | 800 N Tustin Ave Ste M, Santa Ana, CA 92705-3605 | 2006-11-02 |
| 1265539712 | Jaime Ludmir | Obstetrics & Gynecology | 2810 South Bristol, Santa Ana, CA 92704 | 2006-09-19 |
| 1063523538 | Adobe Medical Group Inc. | Obstetrics & Gynecology | 220 W 1st St Ste 102, Santa Ana, CA 92701-5262 | 2006-08-31 |
| Find all providers in SANTA ANA | ||||
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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.