MRS. GRACE E. PARK (NPI# 1770551954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770551954 |
| Entity Type | Individual |
| Full Name | MRS. GRACE E. PARK |
| Practice Address |
11655 Riverside Dr North Hollywood CA 91602-1021 |
| Practice Telephone | 8189857230 |
| Practice Fax Number | 8189857281 |
| Mailing Telephone | 8189857230 |
| Mailing Fax Number | 8189857281 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH48602 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHA463710 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679970859 | Grace Park | Chiropractor | 20627 Golden Springs Dr., 2-b, Diamond Bar, CA 91789 | 2014-12-03 |
| 1710261243 | Grace Eunhye Park | Pharmacist | 125-133 3rd Ave, New York, NY 10003-2543 | 2011-10-03 |
| 1164677464 | Grace Jiyoung Park | Family Medicine | 15446 S. Western Ave, Southern California Permanente Medical Group, Gardena, CA 90249 | 2008-12-01 |
| 1619147592 | Grace Lee Park | Family Medicine | 1109 S. Lincoln Ave., Mckinley Health Center, Urbana, IL 61801 | 2008-03-06 |
| 1033311634 | Grace S Park | Acupuncturist | 7122 Bon Villa Cir, La Palma, CA 90623-1167 | 2007-06-05 |
| 1871602722 | Grace Eunkyoung Park | Dentist | 1024 Sw Highland Dr, #a, Gresham, OR 97080-6353 | 2006-08-30 |
| 1639707573 | Grace Park | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-03-27 |
| 1730739152 | Grace Hyeyoung Park | Pharmacist | 1625 N Campbell Ave, Tucson, AZ 85719-4330 | 2019-09-17 |
| 1407410004 | Grace Park | Student in an Organized Health Care Education/Training Program | 1215 Lee St, Charlottesville, VA 22908-0816 | 2019-04-29 |
| 1275092249 | Grace Eun Park | Behavior Technician | 3230 E Imperial Hwy Ste 203, Brea, CA 92821-1706 | 2019-03-18 |
| Street Address |
11655 RIVERSIDE DR |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457417339 | Riverside Park Pharmacy Inc | Pharmacy | 11655 Riverside Dr, North Hollywood, CA 91602-1021 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225597545 | Lia Martirosyan | Pharmacist | 8160 Rhodes Ave, North Hollywood, CA 91605-1341 | 2019-03-16 |
| 1215427653 | Alla Avetisyan-andranikyan | Pharmacist | 7124 Coldwater Canyon Ave, North Hollywood, CA 91605-7300 | 2018-05-10 |
| 1457862757 | Claudia Heather Myles | Pharmacist | 4420 Vineland Ave Ste 101, North Hollywood, CA 91602-2116 | 2017-10-13 |
| 1164942769 | Siamak Tehrani | Pharmacist | 6007 Lankershim Blvd Ste 7, North Hollywood, CA 91606-4883 | 2017-06-23 |
| 1386172963 | Nare Petoyan | Pharmacist | 11755 Victory Blvd Ste 100a, North Hollywood, CA 91606-3449 | 2017-05-26 |
| 1750828026 | Barbara S Choi | Pharmacist | 5250 Lankershim Blvd, 9th Floor, North Hollywood, CA 91601-3186 | 2017-01-25 |
| 1528493095 | Yudif Alieva | Pharmacist | 6841 Coldwater Canyon Ave, 14, North Hollywood, CA 91605-5141 | 2013-09-03 |
| 1205155306 | Patrick A Njaka | Pharmacist | 11350 Victory Blvd, North Hollywood, CA 91606-3631 | 2010-05-28 |
| 1407172471 | Hieu Thien Truong | Pharmacist | 13226 Cantara Street, North Hollywood, CA 91605 | 2010-04-15 |
| 1497805634 | Farhad Yassini | Pharmacist | 12922 A Victory Blvd, North Hollywood, CA 91606 | 2007-01-11 |
| Find all providers in NORTH HOLLYWOOD | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on MRS. GRACE E. 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.