DR. JOHN PARK (NPI# 1750632501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750632501 |
| Entity Type | Individual |
| Full Name | DR. JOHN PARK |
| Credential | PHD |
| Practice Address |
1370 Valley Vista Dr Ste 200 Diamond Bar CA 91765 |
| Mailing Address |
1317 S Diamond Bar Blvd Unit 4233 Diamond Bar CA 91765-5610 |
| Practice Telephone | 9092749119 |
| Mailing Telephone | 9092749119 |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2018-07-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 30065 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30065 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10470 Foothill Blvd, Rancho Cucamonga, CA 917303754 | 9092749119 | |
| 24920 Mound St, Loma Linda, CA 923500001 | 9096512257 | 9096512257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558718437 | John Park | Student in an Organized Health Care Education/Training Program | 8829 Hawthorne Ct, Ellicott City, MD 21043-3317 | 2016-05-19 |
| 1093134488 | John J. Park | Dentist | 5805 Silver Hill Rd Ste G, District Heights, MD 20747-1171 | 2014-04-14 |
| 1811265697 | John Park | Chiropractor | 2600 Walnut Ave Ste F, Tustin, CA 92780-7032 | 2011-12-07 |
| 1467759324 | John Park | Chiropractor | 256 N Sam Houston Pkwy E, Houston, TX 77060-2008 | 2011-02-11 |
| 1215168109 | John Ho Park | Radiology | 3901 Rainbow Blvd # Ms 4033, University of Kansas Medical Center, Kansas City, KS 66103-2937 | 2009-07-27 |
| 1063605988 | John Park | Case Manager/Care Coordinator | 600 Union Ave Apt B, Santa Maria, CA 93455-5327 | 2007-08-23 |
| 1144320292 | John Wonil Park | Anesthesiology | 7811 Courtney Manor Ln, Katy, TX 77494-6575 | 2006-09-25 |
| 1972538221 | John Park | Acupuncturist | 3815 1/2 Ocean View Blvd, Montrose, CA 91020-2125 | 2006-07-12 |
| 1205862075 | John Johghyun Park | Anesthesiology | 310 Egg Harbor Rd, Sewell, NJ 08080-1854 | 2006-06-24 |
| 1730181454 | John J Park | Dentist | 1079 Chambers St, Eugene, OR 97402-3706 | 2005-08-12 |
| Street Address |
1370 VALLEY VISTA DR STE 200 |
| City | DIAMOND BAR |
| State | CA |
| Zip Code | 91765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235246638 | Anna Jane Couch | Marriage & Family Therapist | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2006-08-23 |
| 1396343273 | Anchor Hospice Care Inc | Hospice Care, Community Based | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2020-10-13 |
| 1972118958 | Amara Hospice Care, Inc. | Hospice Care, Community Based | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2020-09-15 |
| 1912532854 | Ultra Healthcare Nursing Solutions Inc | Nurse Practitioner | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2020-03-11 |
| 1992355358 | Unspoken Language Services, Inc. | Interpreter | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2019-09-18 |
| 1043511223 | Jennifer O Friend | Marriage & Family Therapist | 1370 Valley Vista Dr Ste 200, Diamond Bar, CA 91765-3921 | 2010-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093354839 | American Fertility Medical Center Corporation | Clinic/Center | 1370 Valley Vista Dr Suite 135, Diamond Bar, CA 91765 | 2019-12-26 |
| 1780221101 | Jong Moon Lee | Dentist | 1108 So. Diamond Bar Blvd. Diamond Bar, Diamond Bar, CA 91765 | 2019-12-04 |
| 1740741271 | Dr Doshi Dds Dental Corporation | Dentist | 3209 S Brea Canyon Road Suite #f, Diamond Bar, CA 91765 | 2019-03-27 |
| 1669998423 | Justin Leopoldo Lopez | Behavior Technician | 3230 Fallow Field Dr., Diamond Bar, CA 91765 | 2017-08-14 |
| 1295258564 | Chino Care Inc. | Clinic/Center | 5402 Philadelphia St., Suite C, Chino, CA 91765 | 2017-07-19 |
| 1962942292 | Sonia Wurtenberger | Marriage & Family Therapist | 21660 Copley Drive, Suite 210, Diamond Bar, CA 91765 | 2017-03-06 |
| 1225575863 | Swapnaja M Honnakore | Speech-Language Pathologist | 706 N. Diamond Bar Blvd, B2, Diamond Bar, CA 91765 | 2017-01-20 |
| 1659816106 | Transit Solutions | Non-emergency Medical Transport (VAN) | 23545 Palomino Dr., 518, Diamond Bar, CA 91765 | 2016-12-19 |
| 1316498215 | Rite Aid | Pharmacy | 2059 S Garey Avenue, Pomona, CA 91765 | 2016-10-17 |
| 1104372978 | Marie Claude Dor | Registered Nurse | 2704 Castle Rock Road, Diamond Bar, CA 91765 | 2016-08-31 |
| Find all providers in zip 91765 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154551158 | Richard Eugene Ortigo | Psychologist | 21660 Copley Dr Ste 350, Diamond Bar, CA 91765-5508 | 2009-07-24 |
| 1871788414 | Allegra Nicole Klacsmann | Psychologist | 21700 Copley Dr Ste 200, Suite 200, Diamond Bar, CA 91765-2219 | 2007-09-06 |
| 1952424699 | Stephen William Hill | Psychologist | 1930 S Brea Canyon Rd, Suite 265, Diamond Bar, CA 91765-4009 | 2007-04-09 |
| 1891820718 | Ronda L Hampton | Psychologist | 402 S Prospectors Rd # B, Diamond Bar, CA 91765-1659 | 2007-02-22 |
| 1093892739 | Sandee A Schuster | Psychologist | 404 S Prospectors Road, Suite C, Diamond Bar, CA 91765-1659 | 2006-11-01 |
| 1982795589 | Chia-wen Hsieh | Psychologist | 1200 S Diamond Bar Blvd Ste 216, Diamond Bar, CA 91765-2298 | 2006-09-27 |
| 1225051006 | Stephen G Meyer | Psychologist | 732 N Diamond Bar Blvd, Suite 120, Diamond Bar, CA 91765-1024 | 2006-07-25 |
| 1992730576 | Thomas Theodore Albers | Psychologist | 21660 Copley Dr, Ste 210, Diamond Bar, CA 91765-4109 | 2006-07-11 |
| 1164972048 | Albers Family Counseling | Psychologist | 21660 Copley Dr, Suite 210, Diamond Bar, CA 91765-4173 | 2016-10-04 |
| 1568895852 | Acro Counseling Center | Psychologist | 3333 S Brea Canyon Rd, Suite 113, Diamond Bar, CA 91765-3786 | 2013-08-09 |
| Find all providers in DIAMOND BAR | ||||
| City | DIAMOND BAR |
| Zip Code | 91765 |
Please comment or provide details below to improve the information on DR. JOHN PARK.
| 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.