Jeoung Park (NPI# 1578723805, PAC ID# 4880930726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1578723805 |
| PAC ID by PECOS | 4880930726 |
| Professional Enrollment ID | I20190114001337 |
| Full Name | Jeoung Park |
| Address |
1357 W Shaw Ave Suite 104 Fresno CA 93711-3619 |
| Phone Number | 5599704812 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1357 W Shaw Ave, Suite 104, Fresno, CA 93711-3619 | 5599704812 |
| Street Address |
1357 W SHAW AVE SUITE 104 |
| City | FRESNO |
| State | CA |
| Zip | 93711-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laurie Crosbie | Clinical Social Worker | 1357 W Shaw Ave, Suite 102, Fresno, CA 93711-3619 | |
| David L Hellwig | Psychologist, Clinical | 1357 W Shaw Ave, Suite 104, Fresno, CA 93711-3619 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Stratigos | Physical Therapy | United Therapy Inc | 3190 W La Costa Ave, Fresno, CA 93711-0224 |
| Diana Renee Schuh | Physical Therapy | United Therapy Inc | 3190 W La Costa Ave, Fresno, CA 93711-0224 |
| Danielle Biggs | Psychologist, Clinical | 1306 W Herndon Ave, Suite 108, Fresno, CA 93711-0232 | |
| John A Middleton | Psychiatry | 3649 W Beechwood Ave, Suite 101, Fresno, CA 93711-0693 | |
| Carol A Dela Torre | Clinical Social Worker | 1174 W Shaw Ave, Fresno, CA 93711-1210 | |
| Robert J Tovey | Optometry | 3081 W Bullard Ave, Fresno, CA 93711-1609 | |
| Maureen Kent | Clinical Social Worker | 1040 W Escalon, Fresno, CA 93711-2015 | |
| Van N Polglase Jr. | Orthopedic Surgery | 1159 W Sample Ave, Fresno, CA 93711-2028 | |
| Aleksandr Vydro | Psychiatry | Bio-behavioral Medical Clinics, Inc | 1060 W Sierra Ave, Suite 105, Fresno, CA 93711-2063 |
| Jasmine Malika Singh | Psychiatry | Bio-behavioral Medical Clinics, Inc | 1060 W Sierra Ave, Suite 105, Fresno, CA 93711-2063 |
| Find all physicians in zip 93711 | |||
| City | FRESNO |
| Zip Code | 93711 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | FRESNO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Jeoung Park.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.