Jean Park is a Obstetrics & Gynecology in Fontana, California. Jean Park practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Jean Park is 1205098183. The last update date is 2021-12-06.
Jean Park's current location address is 9985 Sierra Ave, Fontana, California. You can contact this provider via phone number 9094275629. The mailing address for Jean Park is 9985 Sierra Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jean Park |
|---|---|
| Address | 9985 Sierra Ave, Fontana, California |
| Phone Number | 9094275629 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD. MPH |
NPI Number Detail
| NPI Number | 1205098183 |
|---|---|
| Provider Enumeration Date | 2008-07-01 |
| Last Updated Date | 2021-12-06 |
Provider Mailing Address Detail
| Address | 9985 Sierra Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923356720 |
| Phone Number | 9094275629 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 11014577A |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11014577A | IN | STATE LICENSE | |
| A117145 | CA | CALIFORNIA MEDICAL BOARD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jean Park?
The Jean Park has been issued the NPI (National Provider Identifier) 1205098183 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Jean Park?
The Jean Park is situated at 9985 Sierra Ave, in the city of Fontana, state of CA, with the zip code 923356720.
What is Jean Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jean Park is Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.
On what date did the Jean Park receive the assignment of its 1205098183 from the Centers for Medicare & Medicaid Services?
The Jean Park was issued its 1205098183 by the Centers for Medicare & Medicaid Services on 2008-07-01.
When was the Jean Park's information last updated?
The Jean Park's information was last updated on 2021-12-06.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC