SUNG-UN JUSTIN PARK M.D., INC. (NPI# 1750578761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750578761 |
| Entity Type | Organization |
| Organization Name | SUNG-UN JUSTIN PARK M.D., INC. |
| Practice Address |
3055 W Orange Ave Ste 101 Anaheim CA 92804-3152 |
| Practice Telephone | 7144848054 |
| Practice Fax Number | 7144848072 |
| Mailing Telephone | 7144848054 |
| Mailing Fax Number | 7144848072 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | MRS. CANDICE PARK (OFFICE MANAGER) |
| Authorized Official Telephone | 7144848054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
A48704 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | A48704 | 01 |
| CA | 00A487041 | 05 |
| Street Address |
3055 W ORANGE AVE STE 101 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92804-3152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811517261 | Crown Care Hospice Inc | Hospice Care, Community Based | 10568 Magnolia Ave., Suite106, Stanton, CA 92804 | 2020-04-24 |
| 1154971646 | Leita Pawline Lawrene | Technician | 900 S Beach Blvd # 132, Anaheim, CA 92804 | 2019-09-17 |
| 1942767611 | Yasmen Abuyousef | Behavior Technician | 714 W Commonweath Ave, Suite C, Fullerton, CA 92804 | 2019-02-28 |
| 1225501224 | Brandon Pourazima | Physician Assistant | 631 S Brookhurst St Ste 213b, Anaheim, CA 92804 | 2019-01-02 |
| 1043782576 | Origins Home Health Care Inc. | Home Health | 137 1/2 S So Knott, Anaheim, CA 92804 | 2018-12-21 |
| 1346762150 | Inhee Shinn | Acupuncturist | 1717 W. Ball Road., Anaheim, CA 92804 | 2017-07-13 |
| 1689122459 | Jayanthi Ravikumar Md Inc | Physical Medicine & Rehabilitation | 3356 W Ball Road, #216, Anaheim, CA 92804 | 2016-09-21 |
| 1215307954 | Tuan Manh Hoang | Dentist | 1317 S. Courtright Street, Anaheim, CA 92804 | 2015-10-06 |
| 1598101602 | Optimal Sleep Center | Clinical Medical Laboratory | 3340 West Ball Road Suite B, Anaheim, CA 92804 | 2013-05-15 |
| 1376885673 | Michelle Lananh Dang | Pharmacist | 1913 W. Elm Pl, Anaheim, CA 92804 | 2013-03-25 |
| Find all providers in zip 92804 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336785187 | Tp-health Ca PC | Psychiatry & Neurology | 201 E Center St Ste 112, Anaheim, CA 92805-7212 | 2019-11-26 |
| 1679701817 | Tracy Chiem Hatzopoulos | Psychiatry & Neurology | Anaheim Kraemer Medical Office 1, 3460 East La Palma Avenue, Anaheim, CA 92806 | 2009-06-25 |
| 1518987585 | David Holstein | Psychiatry & Neurology | 1211 W La Palma Ave Ste 710, Anaheim, CA 92801-2814 | 2006-07-20 |
| 1538188347 | Chong Sang Kim | Psychiatry & Neurology | 3010 W Orange Ave Ste 203, Anaheim, CA 92804-3171 | 2006-07-19 |
| 1801287156 | David Holstein, Md, Inc | Psychiatry & Neurology | 1211 W La Palma Ave, Suite 608, Anaheim, CA 92801-2815 | 2015-02-09 |
| 1225372550 | Accurate Diagnostic & Management Services | Psychiatry & Neurology | 2201 W Broadway, Suite B201, Anaheim, CA 92804-2374 | 2012-11-27 |
| 1932346301 | Radoslav Ivov Raychev | Psychiatry & Neurology | 1211 W La Palma Ave Ste 710, Anaheim, CA 92801-2814 | 2009-01-07 |
| 1063560928 | Sirichai Chayasirisobhon | Psychiatry & Neurology | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2007-01-08 |
| 1922164573 | B S Suresh | Psychiatry & Neurology | 1751 W Romneya Dr, Suite #j, Anaheim, CA 92801-1815 | 2006-12-28 |
| 1598821142 | B S Subhas | Psychiatry & Neurology | 1751 W Romneya Dr, Suite #j, Anaheim, CA 92801-1815 | 2006-12-28 |
| Find all providers in ANAHEIM | ||||
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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.