Park, Jason Hyuk
Park, Jason Hyuk is an individual health care provider with primary practice located at 4482 Barranca Pkwy Suite 195, Irvine CA 92604-7701. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Park, Jason Hyuk can be contacted via phone (949) 679-3337.Contact Information
Primary practice address
4482 Barranca Pkwy Suite 195
Irvine CA 92604-7701
Phone: (949) 679-3337
Fax: (949) 679-3336
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT24454 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24454 | California |
Profile Details
| NPI number | 1053370239 |
|---|---|
| LBN Legal business name | Park, Jason Hyuk |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Jan 5th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053370239 | NPPES |
| California | Other | 0PT244540 | BLUE SHIELD PIN |
| California | Other | AR052 | BLUE SHIELD PIN |
| California | Other | PT24454 | BLUE SHIELD PIN |
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