Edward Hyunjoon Park (NPI# 1447344429, PAC ID# 8729094347) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PLASTIC AND RECONSTRUCTIVE SURGERY.
Nation Provider ID (NPI) | 1447344429 |
PAC ID by PECOS | 8729094347 |
Professional Enrollment ID | I20060307000732 |
Full Name | Edward Hyunjoon Park |
Address |
1330 San Bernadino Rd Suite C Upland CA 91786-4980 |
Gender | M |
Credential | MD |
Medical School | PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE |
Graduation Year | 1999 |
Primary Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
050099 | SAN ANTONIO REGIONAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
1330 San Bernadino Rd, Suite C, Upland, CA 91786-4980 |
Street Address |
1330 SAN BERNADINO RD SUITE C |
City | UPLAND |
State | CA |
Zip | 91786-4980 |
Name | Specialty | Organization | Address |
---|---|---|---|
Penny L Smith | Nurse Practitioner | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
Khin T Htun | Family Medicine | Aung Thu Md Inc | 600 N 13th Ave, Suite 150, Upland, CA 91786-1900 |
Raul Castillo | Chiropractic | 659 E 15th St, Suite D, Upland, CA 91786-2333 | |
Louis Brenner | Family Medicine | 1113 Alta Ave, Suite 110, Upland, CA 91786-2803 | |
Richard L Armour | Family Medicine | 1113 Alta Ave, Suite 102, Upland, CA 91786-2803 | |
Susan Christine Biegel | Internal Medicine | 1113 Alta Ave, Suite 220, Upland, CA 91786-2803 | |
Keith M Gross | Dermatology | Keith Mark Gross Md Inc | 1113 Alta Ave, Suite 200, Upland, CA 91786-2803 |
Torhild E Kvarekvaal | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
Ninfa P Weinzapfel | Physical Therapy | Dynamic Performance Physical Therapy Inc | 2377 W Foothill Blvd, Suite 20, Upland, CA 91786-3584 |
Michael A Benavidez | Family Medicine | 984 W Foothill Blvd, Upland, CA 91786-3700 | |
Find all physicians in zip 91786 |
City | UPLAND |
Zip Code | 91786 |
Specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
City + Specialty | UPLAND + PLASTIC AND RECONSTRUCTIVE SURGERY |
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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.