ALICE JINYOUNG PARK


Address: 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035
Phone: 9099873518

ALICE JINYOUNG PARK (NPI# 1235747197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235747197
Entity Type Individual
Full Name ALICE JINYOUNG PARK
Practice Address 9650 Baseline Rd
Rancho Cucamonga
CA 91701-5035
Mailing Address 4021 W 182nd St Apt H
Torrance
CA 90504-4749
Practice Telephone 9099873518
Enumeration Date 2020-07-16
Last Update Date 2020-07-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 82596 CA Pharmacy Service Providers

Other Providers ALICE PARK

NPI Name Taxonomy Address Enumeration
1891795076 Alice Park Psychiatry & Neurology 1305 Tommydon St, Stockton, CA 95210-3364 2005-07-28
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
1093722290 Alice S Park Obstetrics & Gynecology 9300 Campus Point Dr, Mail Code 0633, La Jolla, CA 92037-1300 2006-08-01

Office Location

Street Address 9650 BASELINE RD
City RANCHO CUCAMONGA
State CA
Zip Code 91701-5035

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306166640 Thong Sy Dong Pharmacist 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 2010-06-09
1558860460 Michelle Trang Pham Pharmacist 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 2018-02-06
1588177836 Han Jin Park Pharmacist 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 2017-11-08
1275061640 Teresa Tienphung Tran Pharmacist 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 2017-05-30
1740500834 Jennie Kwun Pharmacist 9650 Baseline Rd, Rancho Cucamonga, CA 91701-5035 2010-06-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558884882 Alinda Joan Kniss Speech-Language Pathologist 8990 19 Th Street #304, Alta Loma, CA 91701 2017-07-19
1164739595 Andrea G Moore-emmett Counselor 9330 Baseline Rd Ste 102, Rancho Cucamonga, CA 91701 2010-09-07
1053548644 Suniel S. Khemlani Family Medicine 11398 Kenyon Way Ste J, Rancho Cucamonga, CA 91701 2009-06-22
1215130448 C Mark Keen Dentist 9606 Baseline Rd, Alta Loma, CA 91701 2007-06-06
1184845711 Andrew Liu Specialist/Technologist 11801 Lark Dr., Rancho Cucamonga, CA 91701 2007-05-01
1083741359 Rockcreek, Inc. Intermediate Care Facility, Mentally Retarded 10227 Monte Vista Street, Rancho Cucamonga, CA 91701 2007-02-27
1194867788 George Ji Jun Tao Dentist 6626 Carnelian St, Alta Loma, CA 91701 2007-02-12
1265590624 Terry F Brock Dentist 7283 Carnelian St, Alta Loma, CA 91701 2006-12-05
1851461354 Dr Tom Dental Office Dentist 6795 Carnelian St, Alta Loma, CA 91701 2006-11-09
1124127956 Johnny S Liu Dentist 7168 Archibald Ave, Suite 200, Alta Loma, CA 91701 2006-09-21
Find all providers in zip 91701

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952917338 Priyanka Rakeshkumar Shah Pharmacist 9615 Evening Song Pl, Rancho Cucamonga, CA 91730-5711 2020-09-21
1801434576 Wasien Arthur Phungkusol Pharmacist 7555 Marmande Pl, Rancho Cucamonga, CA 91730-6752 2019-12-12
1891332136 Ana May Vinluan Tan Pharmacist 7950 Etiwanda Ave Apt 8103, Rancho Cucamonga, CA 91739-8710 2019-12-05
1750923595 Jonathan Chan Pharmacist 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 2019-10-14
1164077889 Nancy M Yani Pharmacist 10431 Lemon Ave Suite G, Rancho Cucamonga, CA 91737 2019-08-08
1164088753 Amy Tran Pharmacist 12427 Canal Dr Unit 1, Rancho Cucamonga, CA 91739-7524 2019-05-19
1619531233 Suby Jacob Pharmacist 11438 Kenyon Way, Rancho Cucamonga, CA 91701-9230 2019-04-29
1770082141 Rajnis Jasani Pharmacist 7777-b Milliken Ave, Ste 100, Rancho Cucamonga, CA 91739 2018-02-12
1265948780 Adeola Philip-aimufia Pharmacist 13959 Dove Canyon Way, Rancho Cucamonga, CA 91739-2265 2017-12-20
1396260501 Sawsan Aljazrawi Pharmacist 7452 Bungalow Way, Rancho Cucamonga, CA 91739-8868 2017-08-08
Find all providers in RANCHO CUCAMONGA

Competitor

Search similar providers

City RANCHO CUCAMONGA
Zip Code 91701

Improve Information

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Dataset Information

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.

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