MRS. ELLEN JUNG PARK (NPI# 1821327826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821327826 |
| Entity Type | Individual |
| Full Name | MRS. ELLEN JUNG PARK |
| Other Name | MRS. E.J. PARK |
| Practice Address |
14119 Deerbrook Ln Chino Hills CA 91709-4807 |
| Practice Telephone | 9096289904 |
| Mailing Telephone | 9096289904 |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2736 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740892645 | Ellen Park | Occupational Therapist | 3148 W 11th St, Los Angeles, CA 90006-2322 | 2020-08-20 |
| 1528313863 | Ellen Miyoung Park | Counselor | 3261 Ne 100th St, Seattle, WA 98125-7816 | 2012-07-23 |
| 1174090179 | Ellen Sunghee Park | Pharmacist | 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | 2018-10-28 |
| 1619475043 | Ellen Park | Occupational Therapist | 3350 La Jolla Village Dr, San Diego, CA 92161-0002 | 2018-01-31 |
| 1922559442 | Ellen Sae Eun Park | Nurse Practitioner | 2232 Sepulveda Blvd, Torrance, CA 90501-5301 | 2016-10-19 |
| 1508310673 | Ellen Park | Dentist | 620 Alabama St, Redlands, CA 92373-8059 | 2016-08-06 |
| 1568712362 | Ellen Park | Optometrist | 1689 Arden Way, Sacramento, CA 95815-4030 | 2012-09-19 |
| 1801057732 | Ellen Jiwon Park | Anesthesiology | 1500 San Pablo St, 4th Floor Anes, Los Angeles, CA 90033-5313 | 2008-06-23 |
| 1619075413 | Ellen Park | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Box 683, Rochester, NY 14620-2913 | 2006-09-20 |
| 1821104191 | Ellen S Park | Radiology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-08-21 |
| Street Address |
14119 DEERBROOK LN |
| City | CHINO HILLS |
| State | CA |
| Zip Code | 91709-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295384 | Jimmy Nguyen Dds Inc | Dentist | 13089 Peyton Dr. Ste. B, Chino Hills, CA 91709 | 2020-11-03 |
| 1811501166 | Carla Rita Rambo | Specialist/Technologist | 14772 Pineline Ave, Chino Hills, CA 91709 | 2020-09-03 |
| 1164071684 | Julia Grienitz | Physician Assistant | 3110 Chino Ave Ste 150b, Chino Hills, CA 91709 | 2019-09-06 |
| 1063992014 | Bonifacio Coronel Fontanilla | Respiratory Therapist, Certified | 2363 Scenic Ridge Dr, Chino Hills, CA 91709 | 2018-08-20 |
| 1174023832 | William George Kyriakakos | Counselor | 3782 Daisy Dr, Chino Hills, CA 91709 | 2018-02-19 |
| 1538677604 | Qurban Dental Corproation | Dentist | 15850 Soquel Canyon Pkwy, Suite A, Chino Hills, CA 91709 | 2018-01-11 |
| 1184131831 | Jacqueline Davidson | Specialist/Technologist | 14255 Peyton Dr., Chino Hills, CA 91709 | 2018-01-03 |
| 1508384702 | Jessica Suwan | Nurse Practitioner | 15403 Aqueduct Lane, Chino Hills, CA 91709 | 2017-09-07 |
| 1750809240 | Livewell Therapy, Inc. | Counselor | 5861 Pine Ave., Chino Hills, CA 91709 | 2017-09-05 |
| 1982122776 | Corey Robert Tiller | Physician Assistant | 1737 Walnut Creek Drive, Chino Hills, CA 91709 | 2017-09-01 |
| Find all providers in zip 91709 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122200 | Shelby Lynn Hunter | Occupational Therapist | 14761 Brierwood Dr, Chino Hills, CA 91709-2018 | 2020-04-07 |
| 1679112221 | Anjani Devi Donadi | Occupational Therapist | 14026 Plum Hollow Ln, Chino Hills, CA 91709-4830 | 2019-12-30 |
| 1053957894 | Michelle Yuan Chao | Occupational Therapist | 2484 Via La Mesa, Chino Hills, CA 91709-5000 | 2019-11-26 |
| 1174911309 | Isac Jeyapaul | Occupational Therapist | 13104 Glen Ct Unit 70, Chino Hills, CA 91709-1126 | 2014-12-22 |
| 1306251707 | Alyssia Raquel Segura Vasquez | Occupational Therapist | 14772 Pipeline Ave, Chino Hills, CA 91709-6027 | 2014-06-24 |
| 1417564154 | Jennifer Sung | Occupational Therapist | 14772 Pipeline Ave, Chino Hills, CA 91709-6027 | 2020-09-27 |
| 1841824224 | Maria Delaluz Johnson-gonzales | Occupational Therapist | 14837 Peyton Dr, Chino Hills, CA 91709-2075 | 2020-02-25 |
| 1649710187 | Belle Duong | Occupational Therapist | 14772 Pipeline Ave, A, Chino Hills, CA 91709-6027 | 2017-03-02 |
| 1568836831 | Lisa Sayo | Occupational Therapist | 15944 Los Serranos Country Club Dr, Chino Hills, CA 91709-3993 | 2015-11-23 |
| 1073899589 | Jane Ellen Barkholtz | Occupational Therapist | 14712 Pipeline Ave, Suite C, Chino Hills, CA 91709-1298 | 2011-10-28 |
| Find all providers in CHINO HILLS | ||||
| City | CHINO HILLS |
| Zip Code | 91709 |
Please comment or provide details below to improve the information on MRS. ELLEN JUNG 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.