STEPHEN S PARK (NPI# 1952359002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952359002 |
| Entity Type | Individual |
| Full Name | STEPHEN S PARK |
| Credential | MD |
| Practice Address |
11039 Acacia Pkwy Garden Grove CA 92840 |
| Practice Telephone | 7145343366 |
| Practice Fax Number | 7145343352 |
| Mailing Telephone | 7145343366 |
| Mailing Fax Number | 7145343352 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A32122 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A321220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124366257 | Stephen B Park | Dentist | 34724 14th Pl Sw, Federal Way, WA 98023-7030 | 2013-01-24 |
| 1316226202 | Stephen Park | Dentist | 8630 Fenton St Ste 928, Silver Spring, MD 20910-3810 | 2011-08-09 |
| 1649407289 | Stephen Joseph Park | Internal Medicine | 9711 Medical Center Dr Ste 308, Rockville, MD 20850-3388 | 2009-06-22 |
| 1760561450 | Stephen Jin Park | Dentist | 925 W 34th St # 124c, Los Angeles, CA 90089-0058 | 2006-11-03 |
| 1013986652 | Stephen Hanisee Park | Registered Nurse | S7208a Yanske Road, Viroqua, WI 54665-5466 | 2006-03-16 |
| 1700346996 | Stephen Joon Park | Student in an Organized Health Care Education/Training Program | 1200 N State Street, Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2019-03-22 |
| 1730591728 | Stephen Park | Psychologist | 243 N Highway 101, Suite 16, Solana Beach, CA 92075-1180 | 2014-05-23 |
| 1740627371 | Stephen Sangjin Park | Emergency Medicine | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2013-05-22 |
| 1457420085 | Stephen S. Park | Otolaryngology | 415 Ray C Hunt Dr, Charlottesville, VA 22903-2980 | 2006-11-07 |
| 1699781864 | Stephen Matthew Park | Pediatrics | 700 East Woodland Dr, Saline, MI 48176-1620 | 2006-07-31 |
| Street Address |
11039 ACACIA PKWY |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336316264 | Jason J Pang Md Inc | Internal Medicine | 11039 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2008-05-09 |
| 1316022569 | Robert Sung Chung | Personal Emergency Response Attendant | 11039 Acacia Pkwy, Garden Grove, CA 92840-5126 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1396397170 | Rosa Cortez | Behavior Technician | 12443 Lewis Street, #201, Garden Grove, CA 92840 | 2019-07-12 |
| 1376005934 | Sekboppa Sor | Nurse Practitioner | An Lanh Free Clinic, 10861 Acacia Pkwy., Garden Grove, CA 92840 | 2019-04-03 |
| 1346730116 | Vinh Le Tran | Pharmacist | 12666 Brookhurst St. Suite 110, Garden Grove, CA 92840 | 2018-05-16 |
| 1841715232 | Scott R. Blair | Physician Assistant | 12828 Harbor Blvd Ste 200, Garden Grove, CA 92840 | 2017-08-07 |
| 1881049492 | Carmen Keally | Dietitian, Registered | 12602 9th St, Garden Grove, CA 92840 | 2016-05-02 |
| 1548688732 | House Call Medical Associates, Inc. | Internal Medicine | 12865 Main St Ste 105, Garden Grove, CA 92840 | 2014-04-03 |
| 1851733059 | Carly Ann Wade | Marriage & Family Therapist | 12755 Brookhurst St. Ste 116, Garden Grove, CA 92840 | 2013-07-29 |
| 1003159864 | Priyal Shah Ohri | Dentist | 10602 Chapman Ave, Suite 200, Garden Grove, CA 92840 | 2013-03-30 |
| 1770853244 | Joseph Pham | Pharmacist | 12001 Euclid St., Garden Grove, CA 92840 | 2011-12-30 |
| Find all providers in zip 92840 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053979740 | Thuy Thanh Nguyen, Md, Inc. | Internal Medicine | 12302 Garden Grove Blvd Ste 27, Garden Grove, CA 92843-1834 | 2019-05-29 |
| 1962922393 | Shireen Zynab Khalife | Internal Medicine | 12665 Garden Grove Blvd Ste 502, Garden Grove, CA 92843-1919 | 2017-06-27 |
| 1972919744 | Physicianpartnersipa, Inc. | Internal Medicine | 14221 Euclid St Ste G, Garden Grove, CA 92843-4991 | 2014-07-01 |
| 1124359138 | Sarah Jean Strube | Internal Medicine | 13278 Woodbrook Cir, Garden Grove, CA 92844-1821 | 2010-01-15 |
| 1790917631 | Danh Thanh Dan | Internal Medicine | 12688 Chapman Ave, Suite 3116, Garden Grove, CA 92840-4041 | 2009-08-11 |
| 1760623847 | Tuan Xuan Nguyen, Md, A Prof Corp. | Internal Medicine | 14221 N. Euclid St, Suite H, Garden Grove, CA 92843-4991 | 2009-03-18 |
| 1386812394 | Soomchungmdoncology-hematologypc | Internal Medicine | 12555 Garden Grove Blvd Ste 309, Garden Grove, CA 92843-1903 | 2008-02-12 |
| 1326263633 | Garden Grove Primary Care Medicine, Inc. | Internal Medicine | 12555 Garden Grove Blvd Ste 301, Garden Grove, CA 92843-1903 | 2007-04-13 |
| 1629118468 | Sachchida N. Sinha | Internal Medicine | 12005 Harbor Blvd, Garden Grove, CA 92840-4001 | 2007-02-08 |
| 1942359823 | Licorish Medical Corporation | Internal Medicine | 8803 Garden Grove Blvd, Garden Grove, CA 92844-1211 | 2007-01-09 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92840 |
Please comment or provide details below to improve the information on STEPHEN S 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.