Chang Gyu Park (NPI# 1861595951, PAC ID# 6608039656) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1861595951 |
| PAC ID by PECOS | 6608039656 |
| Professional Enrollment ID | I20120531000516 |
| Full Name | Chang Gyu Park |
| Address |
18361 Bear Valley Rd Suite 6 Hesperia CA 92345-4969 |
| Phone Number | 7609480353 |
| Gender | M |
| Medical School | PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE |
| Graduation Year | 1993 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 18361 Bear Valley Rd, Suite 6, Hesperia, CA 92345-4969 | 7609480353 |
| Street Address |
18361 BEAR VALLEY RD SUITE 6 |
| City | HESPERIA |
| State | CA |
| Zip | 92345-4969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brenda J Reid | Chiropractic | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 | |
| Eric J Storm | Chiropractic | Eric J Storm and Brenda J Reid | 16727 Bear Valley Rd, Suite 260, Hesperia, CA 92345-1406 |
| Rosina B Frize | Physician Assistant | Dr.mikel Walk In Clinic Inc | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 |
| David Shin | Optometry | 15923 Bear Valley Rd, B100, Hesperia, CA 92345-1762 | |
| Joe Louis Juarez Jr. | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Irma Ann Juarez-drew | Chiropractic | 15679 Bear Valley Rd, Suite B, Hesperia, CA 92345-1791 | |
| Khin M Naing | Internal Medicine | Desert Family Practice Associates | 11919 Hesperia Rd A, Hesperia, CA 92345-2158 |
| Gurpal Phaguda | Family Medicine | 15462 Main St, Hesperia, CA 92345-3318 | |
| Eric R Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | |
| Michael A Parrish | Physical Therapy | 15235 Main St, Hesperia, CA 92345-3326 | |
| Find all physicians in zip 92345 | |||
| City | HESPERIA |
| Zip Code | 92345 |
| Specialty | CHIROPRACTIC |
| City + Specialty | HESPERIA + CHIROPRACTIC |
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| 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.