DONG JUN JOHN PARK (NPI# 1700865052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700865052 |
| Entity Type | Individual |
| Full Name | DONG JUN JOHN PARK |
| Credential | M.D. |
| Practice Address |
4605 Barranca Pkwy Suite 205 Irvine CA 92604-4729 |
| Practice Telephone | 9497776883 |
| Practice Fax Number | 9493871523 |
| Mailing Telephone | 9497776883 |
| Mailing Fax Number | 9493871523 |
| Enumeration Date | 2006-01-14 |
| Last Update Date | 2016-05-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A98835 | CA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | A98835 | CA | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
A98835 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4605 BARRANCA PKWY SUITE 205 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-4729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417125287 | Efraim Duzman M.d., Inc | Optometrist | 4605 Barranca Pkwy, Suite 100, Irvine, CA 92604-4767 | 2008-02-14 |
| 1992918734 | Donna Jean Huson | Psychologist | 4605 Barranca Pkwy, Suite 101-f, Irvine, CA 92604-4767 | 2007-05-08 |
| 1093721912 | David Lawrence Astle | Psychologist | 4605 Barranca Pkwy, Ste 101c, Irvine, CA 92604-1726 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700249554 | Priyanka Chhadva | Ophthalmology | 850 Health Sciences Rd Cornea Department, Irvine, CA 92697-3226 | 2016-03-30 |
| 1013388172 | Irvine Eye Medical Group | Ophthalmology | 15785 Laguna Canyon Rd Ste 300, Irvine, CA 92618-3178 | 2015-10-15 |
| 1548520828 | Joseph Norman Lambert | Ophthalmology | 7 Alderberry, Irvine, CA 92604-4657 | 2012-05-21 |
| 1144463761 | Jennifer Lee Wu | Ophthalmology | 2500 Alton Pkwy Ste 102, Irvine, CA 92606-5032 | 2009-04-13 |
| 1366606055 | Chantal Josee Boisvert | Ophthalmology | 850 Health Sciences Road, Uci Gavin Herbert Eye Institute, Irvine, CA 92697-4375 | 2008-07-11 |
| 1275796781 | James Harlan Johnson | Ophthalmology | 2102 Business Center Drive, Suite 154, Irvine, CA 92612-1001 | 2008-07-03 |
| 1346425964 | Nika Omid | Ophthalmology | 4920 Barranca Pkwy Ste A, Irvine, CA 92604-4672 | 2008-01-02 |
| 1750565032 | Jonathan Winarko | Ophthalmology | 118 Med Surge I, Irvine, CA 92697-4375 | 2007-12-23 |
| 1982729786 | Helen C. Tseng | Ophthalmology | 118 Med Surge 1 Attn Karen Tighe, Uc Irvine, Dept of Ophthalmology, Irvine, CA 92697 | 2007-03-20 |
| 1235279910 | Rhett Mead Schiffman | Ophthalmology | 118 Med Surge # 1, Irvine, CA 92697-4375 | 2007-02-08 |
| Find all providers in IRVINE | ||||
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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.