JUNG PARK (NPI# 1174855738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174855738 |
| Entity Type | Individual |
| Full Name | JUNG PARK |
| Credential | MD |
| Practice Address |
8110 Woodman Ave Panorama City CA 91402 |
| Practice Telephone | 8183752000 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A108271 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225569817 | Jung Park | Student in an Organized Health Care Education/Training Program | 255 Whitney Ave Apt 34, New Haven, CT 06511-3751 | 2017-03-24 |
| 1336681238 | Jung Park | Acupuncturist | 308 Preston Ave, Pasadena, TX 77503-1215 | 2016-11-08 |
| 1275783813 | Jung Sun Park | Dentist | 1860 Alcatraz, Berkeley, CA 94703 | 2008-09-19 |
| 1194919209 | Jung Hoon Park | Dentist | 5249 Duke St Ste 210, Alexandria, VA 22304-2907 | 2007-08-31 |
| 1124006523 | Jung I. Park | Specialist | 8825 Crestwood Ave, Munster, IN 46321-2711 | 2006-01-05 |
| 1942291638 | Jung Tae Park | Family Medicine | 13851 Highway 28, Whitwell, TN 37397-5373 | 2005-11-02 |
| 1679004873 | Jung Mi Park | Hospitalist | 49 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3049 | 2017-03-21 |
| 1417302621 | Jung Park | Technician/Technologist | 11112 Atlantic Ave, South Richmond Hill, NY 11419-1158 | 2016-04-26 |
| 1053601161 | Jung Eun Park | Pediatrics | 6345 Center Dr Bldg 14, Norfolk, VA 23502-4105 | 2011-04-10 |
| 1659517902 | Jung Park | Orthopaedic Surgery | 3401 N Broad St, Outpatient Building 6th Fl., Philadelphia, PA 19140-5103 | 2008-12-16 |
| Street Address |
8110 WOODMAN AVE |
| City | PANORAMA CITY |
| State | CA |
| Zip Code | 91402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962693168 | Paul S. Lee | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2007-08-05 |
| 1801378138 | Anthony James Tuttobene | Respiratory Therapist, Registered | 8110 Woodman Ave, Panorama City, CA 91402 | 2018-09-04 |
| 1457640914 | Tara Elena Song | Otolaryngology | 8110 Woodman Ave, Dept of Head and Neck Surgery, Panorama City, CA 91402 | 2011-04-05 |
| 1699093104 | Ali Razfar | Otolaryngology | 8110 Woodman Ave, Building 5 Area 220, Panorama City, CA 91402 | 2010-05-07 |
| 1134446727 | Sarah Lee O'brien | Physical Medicine & Rehabilitation | 8110 Woodman Ave, Bldg 5/area G20, Panorama City, CA 91402 | 2010-04-22 |
| 1619102191 | Yuro J Berkovic | Otolaryngology | 8110 Woodman Ave, Panorama City, CA 91402 | 2009-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457900979 | Natalie Levine | Physician Assistant | 9140 Van Nuys Blvd Ste 207, Panorama City, CA 91402 | 2019-09-06 |
| 1609423912 | Jannet De La Torre | Student in an Organized Health Care Education/Training Program | 8018 Broadleaf Ave., Panorama City, CA 91402 | 2019-08-21 |
| 1659838258 | Carlota Andon | Psychologist | 14907 Willard St., Panorama City, CA 91402 | 2019-03-01 |
| 1477037471 | Lisa Diaz | Respiratory Therapist, Registered | 13651 Cantara St, Panorama City, CA 91402 | 2018-09-17 |
| 1124500665 | Luis Valentine Ascencio Jr. | Respiratory Therapist, Certified | Southern Calif. Kaiser Permanente Hospital, 8110 Woodman Ave Building 5, Panorama City, CA 91402 | 2018-08-31 |
| 1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
| 1265910285 | St. Rita's Congregate, Inc. | Nursing Facility/Intermediate Care Facility | 7818 Allott Ave, Van Nuys, CA 91402 | 2018-08-01 |
| 1255834370 | Bishoy Saad | Student in an Organized Health Care Education/Training Program | 8435 Minuet Pl, Panorama City, CA 91402 | 2018-03-15 |
| 1376080309 | International Pre-diabetes Center Inc | Registered Nurse | 14500 Roscoe Blvd., 4th Floor, 4th Floor, Panorama City, CA 91402 | 2017-01-29 |
| 1023489176 | Jane Ryang | Pharmacist | 13652 Cantara Street, Mo4 Room 105, Panorama City, CA 91402 | 2015-10-15 |
| Find all providers in zip 91402 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1235287285 | Shant A. Hamamah | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1477601284 | Bruce E. Zweiban | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1023166063 | Gina Lin | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2007-01-08 |
| 1497814016 | Fredric P. Schlussel | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-12-08 |
| 1215004189 | Anuradha R. Pappu | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| 1447327259 | Arthur D. Mehlman | Internal Medicine | 13652 Cantara St, Panorama City, CA 91402-5423 | 2006-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
| Find all providers with the same taxonomy | ||||
| City | PANORAMA CITY |
| Zip Code | 91402 |
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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.