Susan Jin-Sun Park in Reno - Family Medicine

Susan Jin-Sun Park - NPI 1003070640

Susan Jin-Sun Park is a Family Medicine in Reno, Nevada. Susan Jin-Sun Park practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Jin-Sun Park is 1003070640. The last update date is 2021-06-21.

Susan Jin-Sun Park's current location address is 661 Sierra Rose Dr, Reno, Nevada. You can contact this provider via phone number 7759828255 and fax number 7759828251. The mailing address for Susan Jin-Sun Park is 661 Sierra Rose Dr, Reno, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan Jin-Sun Park
Address 661 Sierra Rose Dr, Reno, Nevada
Phone Number 7759828255
Fax Number 7759828251
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003070640
Provider Enumeration Date 2008-07-14
Last Updated Date 2021-06-21

Provider Mailing Address Detail

Address 661 Sierra Rose Dr
City Reno
State Nevada (NV)
Post Code 89511
Phone Number 7759828255
Fax Number 7759828251

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 13322
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
12139950 CAQH

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FAQs about Susan Jin-Sun Park

What is the unique 10-digit identification code assigned to Susan Jin-Sun Park by the Centers for Medicare & Medicaid Services?

The Susan Jin-Sun Park has been issued the NPI (National Provider Identifier) 1003070640, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Susan Jin-Sun Park's physical address?

The Susan Jin-Sun Park is physically located at 661 Sierra Rose Dr, in the city of Reno, NV, with the postal code 89511.

What is Susan Jin-Sun Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Susan Jin-Sun Park is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

When did Susan Jin-Sun Park receive its 1003070640 assignment?

The Susan Jin-Sun Park was assigned its 1003070640 on 2008-07-14, which is the date when this unique identifier was issued to the organization.

As of what date were the Susan Jin-Sun Park's details last updated?

The information pertaining to the Susan Jin-Sun Park, including its address, specialty, and other details, was most recently updated on 2021-06-21.

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