JI AH PARK (NPI# 1336703941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336703941 |
| Entity Type | Individual |
| Full Name | JI AH PARK |
| Practice Address |
5023 Evergreen Ave Cypress CA 90630-2953 |
| Mailing Address |
Po Box 287 Cypress CA 90630-0287 |
| Practice Telephone | 7143566630 |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | PA58548 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5023 EVERGREEN AVE |
| City | CYPRESS |
| State | CA |
| Zip Code | 90630-2953 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997882 | Selene Monique Bustamante | Assistant Behavior Analyst | 10202 Aurelia Ave, Cypress, CA 90630 | 2020-03-18 |
| 1063068872 | Harriet Lang | Technician | 10717 Thomas Circle, Cypress, CA 90630 | 2019-08-16 |
| 1831756527 | Faye Uy Dds, A Professional Corporation | Dentist | 9521 Valley View St, Cypress, CA 90630 | 2019-05-29 |
| 1538686597 | Genentox Laboratories LLC | Clinical Medical Laboratory | 5252 Orange Avenue, Suite 101, Cypress, CA 90630 | 2017-08-29 |
| 1770007643 | Cory Glen Lovelace | Physical Therapist | 6452 Cantiles Ave, Cypress, CA 90630 | 2017-08-01 |
| 1043749641 | Anna Marie Lonetti | Counselor | 5712 Camp St., Cypress, CA 90630 | 2017-06-07 |
| 1073922969 | Sungsim Hwang | Acupuncturist | 9091 Holder St #120, Cypress, CA 90630 | 2014-08-05 |
| 1821429499 | David Kim Endo Dmd Inc | Dentist | 9242 Walker St. Unit C, Cypress, CA 90630 | 2013-12-09 |
| 1235474941 | Arlen Grajeda | Marriage & Family Therapist | 5712 Campt St, Cypress, CA 90630 | 2012-12-06 |
| 1083968697 | Byungheon Moon | Acupuncturist | 5241 Lincoln Ave. Ste C1, Cypress, CA 90630 | 2012-11-05 |
| Find all providers in zip 90630 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033740634 | Minu Parappuram | Family Medicine | 15402 Lakeport Crossing Dr, Cypress, TX 77429-4921 | 2020-02-01 |
| 1679113559 | Harry Fairman Jr. | Family Medicine | 21323 Cypress Bur Oak Dr, Cypress, TX 77433-7736 | 2020-01-08 |
| 1639644479 | Aji Thomas | Family Medicine | 21212 Northwest Fwy Ste 505, Cypress, TX 77429-5888 | 2018-10-08 |
| 1396222964 | Rashmi Sheshadri Md Pa | Family Medicine | 8190 Barker Cypress Rd Ste 1500a, Cypress, TX 77433-2277 | 2018-07-25 |
| 1659876811 | Cypress Total Wellness Clinic, Pllc | Family Medicine | 12361 Barker Cypress Rd Ste 800, Cypress, TX 77429-8378 | 2018-03-28 |
| 1780190983 | Thrive Full Body Wellness | Family Medicine | 4959 Katella Ave Ste C, Cypress, CA 90720-2747 | 2017-12-26 |
| 1073026555 | Riz Medical Care, Pa | Family Medicine | 9740 Barker Cypress Rd Ste 108, Cypress, TX 77433-1974 | 2017-11-07 |
| 1659730471 | Imperium Group LLC | Family Medicine | 18037 Fm 529 Rd Ste C, Cypress, TX 77433-2243 | 2016-02-22 |
| 1336528538 | North Cypress Medical Partners, Inc | Family Medicine | 21216 Northwest Fwy Ste 610, Cypress, TX 77429-4699 | 2015-05-21 |
| 1346648722 | Faisal Mahmooduddin | Family Medicine | 12101 Grant Rd, Suite G, Cypress, TX 77429-2761 | 2014-12-16 |
| Find all providers in CYPRESS | ||||
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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.