Park, Jonathan

Park, Jonathan is an individual health care provider with primary practice located at 8876 Mission Blvd , Jurupa Valley CA 92509-2811. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Park, Jonathan can be contacted via phone (951) 360-8795.

Contact Information

Primary practice address
8876 Mission Blvd Jurupa Valley CA 92509-2811
Phone: (951) 360-8795
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A165509 California

Profile Details

NPI number 1205324969
LBN Legal business name Park, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2018
Last updated Jul 8th, 2021 - about 5 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.

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