SU YONG PAK,M.D. INC (NPI# 1942375506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942375506 |
| Entity Type | Organization |
| Organization Name | SU YONG PAK,M.D. INC |
| Practice Address |
5451 La Palma Ave 14 La Palma CA 90623-1728 |
| Practice Telephone | 7145233212 |
| Mailing Telephone | 7145233212 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-02-07 |
| Authorized Official Name | DR. SU YONG PAK (M.D.) |
| Authorized Official Telephone | 7145233212 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
A34079 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5451 LA PALMA AVE 14 |
| City | LA PALMA |
| State | CA |
| Zip Code | 90623-1728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516076 | Mark Scheier | Family Medicine | 5451 La Palma Ave, Ste 22, La Palma, CA 90623-1730 | 2005-05-23 |
| 1528462694 | Southern California Foot and Ankle Center | Podiatrist | 5451 La Palma Ave, Suite 26, La Palma, CA 90623-1728 | 2014-10-17 |
| 1730452616 | Ravikumar Medical Corporation | Specialist | 5451 La Palma Ave, Suite 47, La Palma, CA 90623-1728 | 2012-02-22 |
| 1255610739 | Behrooz Ahmadi, M.d A Prof Corp | Specialist | 5451 La Palma Ave, #34, La Palma, CA 90623-1728 | 2011-08-15 |
| 1922398767 | Terrisa S. Ha, M.d. Inc. | Family Medicine | 5451 La Palma Ave, Suite 49, La Palma, CA 90623-1728 | 2011-04-13 |
| 1699064006 | Ruey Jen Chang | Physician Assistant | 5451 La Palma Ave, Suite 25, La Palma, CA 90623-1728 | 2011-04-06 |
| 1376774257 | Dharini M. Patel, Md, Inc | Anesthesiology | 5451 La Palma Ave, Ste 15, La Palma, CA 90623-1728 | 2009-07-27 |
| 1205087079 | Niloofar Leyla Farmani | Internal Medicine | 5451 La Palma Ave, Suite 25, La Palma, CA 90623 | 2008-10-09 |
| 1750552402 | Mark Scheier Md Inc | Clinic/Center | 5451 La Palma Ave, Suite 22, La Palma, CA 90623-1730 | 2008-03-20 |
| 1619152428 | Xinming Fu, Md, Inc | Internal Medicine | 5451 La Palma Ave, Suite 26, La Palma, CA 90623-1728 | 2007-12-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026953 | Kimberley Pak | Behavioral Analyst | 6 Centerpointe Dr Ste 700, La Palma, CA 90623 | 2017-07-20 |
| 1881127850 | Gaylynn Motta | Social Worker | 7512 Keith Circle, La Palma, CA 90623 | 2017-04-06 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1205204179 | Joanna L Tran | Physician Assistant | 5451 La Palma Avenue Suite 25, La Palma, CA 90623 | 2015-09-09 |
| 1558783258 | Marilyn Lee | Nurse Practitioner | 1 Centerpointe Dr., Ste 415, La Palma, CA 90623 | 2014-01-15 |
| 1487089157 | Occupational Health Centers of Illinois PC | Clinic/Center | 40 Centerpointe Dr, La Palma, CA 90623 | 2013-09-12 |
| 1619217833 | Seong Woo Rhee | Acupuncturist | 7872 Walker St., Suite#104, La Palma, CA 90623 | 2013-02-25 |
| 1942553458 | Michael Zhang | Dentist | 4511 Montecito Dr., La Palma, CA 90623 | 2012-10-22 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1669667762 | Guity N Yeganeh | Pediatrics | 5 Centerpoint Dr., La Palma, CA 90623 | 2007-09-11 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548338189 | Norman Kuo | Internal Medicine | 5471 La Palma Ave, Suite 105, La Palma, CA 90623-1745 | 2006-12-01 |
| 1447334826 | Norman Kuo Md Phd Professional Corporation | Internal Medicine | 5471 La Palma Ave, Suite 105, La Palma, CA 90623-1745 | 2006-10-24 |
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| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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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.