DR. ALICE S PARK (NPI# 1093722290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093722290 |
| Entity Type | Individual |
| Full Name | DR. ALICE S PARK |
| Credential | M.D. |
| Practice Address |
9300 Campus Point Dr Mail Code 0633 La Jolla CA 92037-1300 |
| Practice Telephone | 8883098273 |
| Mailing Telephone | 8883098273 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207V00000X | Obstetrics & Gynecology | A94437 | CA | Allopathic & Osteopathic Physicians |
| X | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
A94437 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795076 | Alice Park | Psychiatry & Neurology | 1305 Tommydon St, Stockton, CA 95210-3364 | 2005-07-28 |
| 1235747197 | Alice Jinyoung Park | Pharmacist | 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 | 2020-07-16 |
| 1043860190 | Alice Marie Park | Registered Nurse | 9720 S Tacoma Way, Lakewood, WA 98499-4456 | 2019-09-19 |
| 1851693055 | Alice Soo Park | Registered Nurse | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2010-11-22 |
| 1386955771 | Alice Jeanne Park | Family Medicine | 44201 Dequindre Rd, Troy, MI 48085-1117 | 2010-06-30 |
| 1841497591 | Alice Sunyoung Park | Physical Therapist | 5601 Desoto Avenue, Woodland Hills, CA 91365 | 2007-06-27 |
| 1649336298 | Alice J Park | Internal Medicine | 3780 Kilroy Airport Way Ste 115, Long Beach, CA 90806 | 2006-12-28 |
| 1902913361 | Alice Park | Nurse Anesthetist, Certified Registered | 150 N Eagle Creek Dr, Lexington, KY 40509-1805 | 2006-08-23 |
| Street Address |
9300 CAMPUS POINT DR MAIL CODE 0633 |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978992 | Bonnie L Eklund | Nurse Practitioner | 9300 Campus Point Dr, Mail Code 7381, La Jolla, CA 92037-1300 | 2005-11-07 |
| 1386259695 | Erin Jenkins | Nurse Practitioner | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-09-14 |
| 1851905657 | Sophia Tang Chung | Pharmacist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-31 |
| 1679184758 | Alexandra Salcedo | Dietitian, Registered | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-08-12 |
| 1982227526 | Omid Jalali | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-05-18 |
| 1023638269 | Daniella Klebaner | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-17 |
| 1487283958 | Marissa Robin Craig | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-04-06 |
| 1790313245 | Kenneth Matthew Zabel | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-31 |
| 1649808692 | Samuel Early | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-27 |
| 1619504024 | Kathryn D Leonard | Physical Therapist | 9300 Campus Point Dr, La Jolla, CA 92037-1300 | 2020-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| 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 |
|---|---|---|---|---|
| 1316325780 | Andrw Erwin Senyei | Obstetrics & Gynecology | 1547 El Camino Del Teatro, La Jolla, CA 92037-6301 | 2015-05-18 |
| 1831454024 | Robert Louis Salerno | Obstetrics & Gynecology | 1251 W Muirlands Dr, 1251 W. Muirlands Dr, La Jolla, CA 92037-5506 | 2012-07-12 |
| 1235408717 | Robert Noel Fiorentino | Obstetrics & Gynecology | 5544 Via Callado, La Jolla, CA 92037-7835 | 2011-12-29 |
| 1326376989 | Nathan Joshua Harrison | Obstetrics & Gynecology | 1035 Havenhurst Dr, La Jolla, CA 92037-6804 | 2009-11-19 |
| 1912166737 | Arij Faksh | Obstetrics & Gynecology | 9333 Genesee Avenue, Suite 170, La Jolla, CA 92121 | 2008-06-06 |
| 1730386335 | Chrysten E. Cunningham, Do Inc | Obstetrics & Gynecology | 2386 Ave De La Playa, La Jolla, CA 92037-3201 | 2007-06-28 |
| 1730242942 | Elizabeth G Silverman | Obstetrics & Gynecology | 9850 Genesee Ave #600, La Jolla, CA 92037 | 2006-12-18 |
| 1396818134 | Cheryl C Saenz | Obstetrics & Gynecology | 3855 Health Sciences Drive # 0987, La Jolla, CA 92093-0987 | 2006-11-17 |
| 1134193105 | Mel M. Kurtulus | Obstetrics & Gynecology | 9850 Genesee Ave Ste 640, La Jolla, CA 92037-1217 | 2006-02-15 |
| 1912908369 | Darush Lawrence Mohyi | Obstetrics & Gynecology | 7724 Fay Ave, La Jolla, CA 92037-4309 | 2005-08-09 |
| Find all providers in LA JOLLA | ||||
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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.