JOANNA PARK (NPI# 1750728564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750728564 |
| Entity Type | Individual |
| Full Name | JOANNA PARK |
| Practice Address |
1111 W 6th St Ste 111 Los Angeles CA 90017-1823 |
| Mailing Address |
3609 Oaklawn Ln Pico Rivera CA 90660-5937 |
| Practice Telephone | 2136074400 |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
1763 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750604468 | Joanna Park | Massage Therapist | 927 132nd St Sw Apt K3, Everett, WA 98204-9387 | 2010-03-09 |
| 1558984401 | Joanna So Young Park | Pharmacist | 1901 1st Ave, New York, NY 10029-7494 | 2020-05-27 |
| Street Address |
1111 W 6TH ST STE 111 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255498911 | Schwana Bowe | Licensed Vocational Nurse | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2007-01-02 |
| 1316569718 | Christina Marie Del Carmen | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2020-05-08 |
| 1619523958 | Taryn Nicole El Bayar | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-08-13 |
| 1780140848 | Lily Alexandra Bollinger | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-02-13 |
| 1568936664 | Stacey R Kim | Behavior Technician | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-01-11 |
| 1104399534 | Sophia Taylor | Assistant Behavior Analyst | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2019-01-08 |
| 1508345711 | Marisol Garcia-macias | Physical Therapist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-08-08 |
| 1568940088 | Nicolette Chantal Buenrostro | Speech-Language Pathologist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-08-06 |
| 1306342845 | Roxana Larios Ponce | Specialist/Technologist | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2018-04-03 |
| 1194231555 | Kimberly Kay Sinclair | Behavioral Analyst | 1111 W 6th St Ste 111, Los Angeles, CA 90017-1823 | 2017-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861963605 | Lindsay Akemi Terada | Specialist/Technologist | 4311 Wilshire Blvd Ste 200, Los Angeles, CA 90010-3714 | 2018-12-05 |
| 1700303609 | Jisun Lee | Specialist/Technologist | 1080 S. La Cienega Blvd, #208, Los Angeles, CA 90035 | 2017-08-23 |
| 1518414648 | Nancy Delgado | Specialist/Technologist | 846 E 32nd St, Los Angeles, CA 90011-2408 | 2016-09-07 |
| 1346699048 | Jeane R Rodriguez | Specialist/Technologist | 514 S Hillview Ave, Los Angeles, CA 90022-2626 | 2016-06-03 |
| 1598127920 | Paul Ramirez | Specialist/Technologist | 545 S Breed St, Los Angeles, CA 90033-4309 | 2016-03-24 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| 1275904880 | Andry Gomez | Specialist/Technologist | 1476 W 37th St, Los Angeles, CA 90018-4519 | 2015-10-08 |
| 1114308400 | Francis Alvin Perez | Specialist/Technologist | 5035 O'sullivan Dr., Los Angeles, CA 90032 | 2015-06-12 |
| 1982090023 | Jesse Guberman | Specialist/Technologist | 3615 Wasatch Ave, Los Angeles, CA 90066-2714 | 2015-04-15 |
| 1982097507 | Nidia Irene Leon | Specialist/Technologist | 2990 S Sepulveda Blvd Ste 308, Los Angeles, CA 90064-3996 | 2015-03-05 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on JOANNA 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.