JONG HYUK PARK (NPI# 1760985675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760985675 |
| Entity Type | Individual |
| Full Name | JONG HYUK PARK |
| Other Name | JOHNNY PARK |
| Practice Address |
16007 Crenshaw Blvd Torrance CA 90506-0001 |
| Mailing Address |
5144 La Crescenta Ave La Crescenta CA 91214-2136 |
| Practice Telephone | 3106603593 |
| Mailing Telephone | 8182887301 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
16007 CRENSHAW BLVD |
| City | TORRANCE |
| State | CA |
| Zip Code | 90506-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811998834 | Linda Goldman | Nurse Practitioner | 16007 Crenshaw Blvd, Student Health Services, Torrance, CA 90506-0001 | 2005-08-02 |
| 1477190643 | Abigail Francisco | Specialist/Technologist | 16007 Crenshaw Blvd, Torrance, CA 90506-0001 | 2019-12-05 |
| 1467984724 | Susan Nilles | Nurse Practitioner | 16007 Crenshaw Blvd, Torrance, CA 90506-0001 | 2017-03-28 |
| 1639385511 | Melanie Smith Bronstein | Nurse Practitioner | 16007 Crenshaw Blvd, Torrance, CA 90506-0001 | 2007-05-15 |
| 1063634095 | Holly Fall | Nurse Practitioner | 16007 Crenshaw Blvd, Student Health Services, Torrance, CA 90506-0001 | 2007-05-02 |
| 1174745194 | Deborah Herzik | Nurse Practitioner | 16007 Crenshaw Blvd, Torrance, CA 90506-0001 | 2007-05-02 |
| 1164649232 | Julie Anne Poepoe | Nurse Practitioner | 16007 Crenshaw Blvd, Torrance, CA 90506-0003 | 2007-04-19 |
| 1922120476 | Stephen Fredrick Teubner Jr. | Specialist/Technologist | 16007 Crenshaw Blvd, Torrance, CA 90506-0001 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831648518 | Christine Kubeck | Physician Assistant | 3445 PCh Suite 200, Torrance, CA 90506 | 2016-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1306446091 | Candace Maglinao | Family Medicine | 21010 Anza Ave Apt 12, Torrance, CA 90503-4254 | 2020-10-30 |
| 1609476589 | Southbay Care Home, Inc. | Assisted Living Facility | 19917 Anza Avenue, Torrance, CA 90503-2005 | 2020-10-29 |
| 1235738782 | Peninsula Healthcare Center | Nurse Practitioner | 22330 Hawthorne Blvd Ste 208, Torrance, CA 90505-2536 | 2020-10-25 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1134727159 | Samantha Om | Occupational Therapist | 3210 Sepulveda Blvd, Torrance, CA 90505-2719 | 2020-10-12 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1962019133 | Megan Sheardown | Behavioral Analyst | 3524 Torrance Blvd Ste 105, Torrance, CA 90503-4821 | 2020-09-30 |
| 1952918708 | Ashley Santiago | Behavior Technician | 21515 Hawthorne Blvd Unit Gl100, Torrance, CA 90503-6501 | 2020-09-25 |
| 1164039012 | Alese Marie Hernandez | Registered Nurse | 24239 Park St, Torrance, CA 90505-6554 | 2020-09-24 |
| Find all providers in TORRANCE | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319149 | Gia Chodzen | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St, #488, Torrance, CA 90502 | 2020-09-04 |
| 1205448669 | Jonathan Anhduy Tran | Student in an Organized Health Care Education/Training Program | 2461 W 230th Pl, Torrance, CA 90501-5206 | 2020-08-18 |
| 1205448644 | Tabitha Tamara Black | Student in an Organized Health Care Education/Training Program | Harbor Ucla Dmh 1000 W Carson Street, Number 488, Torrance, CA 90502 | 2020-08-18 |
| 1588289623 | Elizabeth Lopez Escobar | Student in an Organized Health Care Education/Training Program | 1626 W 209th St Apt 8, Torrance, CA 90501-1937 | 2020-06-15 |
| 1225665250 | Katherine Lee | Student in an Organized Health Care Education/Training Program | 1000 West Carson Street Main Hospital, 7 West, Torrance, CA 90509 | 2020-03-27 |
| 1538718531 | Harbor-ucla Dmh | Student in an Organized Health Care Education/Training Program | Harbor-ucla Dmh, 1000 W Carson St Box #498, Torrance, CA 90502 | 2019-09-11 |
| 1891345831 | Sydney Del Carmen Wheat | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Box #488, Torrance, CA 90502 | 2019-09-11 |
| 1912490681 | Catherine Marie Peters | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Bldg D5.5, Torrance, CA 90502-2004 | 2018-06-07 |
| 1376040667 | Jenny Hung | Student in an Organized Health Care Education/Training Program | 1000 W Carson St Fl 6, Torrance, CA 90502-2004 | 2018-04-12 |
| 1467971283 | Grace Y Kim | Student in an Organized Health Care Education/Training Program | Lacdmh Hucla 1000 W. Carson Street, Torrance, CA 90502 | 2017-09-13 |
| Find all providers in TORRANCE | ||||
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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.