Joong Young Park M.D. Inc.

LBN: Joong Young Park M.D. Inc.
Joong Young Park M.D. Inc. is an health care organization with primary practice located at 9535 Garden Grove Blvd Ste 104 , Garden Grove CA 92844-1551. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Joong Young Park M.D. Inc. can be contacted via phone (714) 534-1112, or through Park, Joong Young via phone (714) 534-1112.

Contact Information

Primary practice address
9535 Garden Grove Blvd Ste 104 Garden Grove CA 92844-1551
Phone: (714) 534-1112
Fax: (714) 534-1116
Website:
Map and Directions
Authorized official contact:
Name: Park, Joong Young Doctor of Medicine (MD)
Phone: (714) 534-1112

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A39059 California

Profile Details

NPI number 1104014034
LBN Legal business name Joong Young Park M.D. Inc.
DBA Doing business as
Authorized official Park, Joong Young Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2007
Last updated Sep 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104014034 NPPES
California MEDICAID 00A390590

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