Jung Won Park in Sacramento - Pediatrics

Jung Won Park - NPI 1184756082

Jung Won Park is a Pediatrics in Sacramento, California. Jung Won Park practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Jung Won Park is 1184756082. The last update date is 2017-02-07.

Jung Won Park's current location address is 7215 55th St, Sacramento, California. You can contact this provider via phone number 9163991100 and fax number 8778602397. The mailing address for Jung Won Park is 7215 55th St, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jung Won Park
Address 7215 55th St, Sacramento, California
Phone Number 9163991100
Fax Number 8778602397
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1184756082
Provider Enumeration Date 2007-03-09
Last Updated Date 2017-02-07

Provider Mailing Address Detail

Address 7215 55th St
City Sacramento
State California (CA)
Post Code 958232601
Phone Number 9163991100
Fax Number 8778602397

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No G9781
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
118238804 TX --
89C759 TX BCBS
P01758328-DV527 CA RR MEDICARE

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FAQs about Jung Won Park

What is the Jung Won Park's unique identification number?

The Jung Won Park has been assigned the NPI (National Provider Identifier) Number 1184756082 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Jung Won Park?

The Jung Won Park is physically situated at 7215 55Th St, in the city of Sacramento, state of CA, with the postal code 958232601.

What is the area of specialization for Jung Won Park, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jung Won Park is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.

On what date did the Jung Won Park receive the assignment of its 1184756082 from the Centers for Medicare & Medicaid Services?

The Jung Won Park was issued its 1184756082 by the Centers for Medicare & Medicaid Services on 2007-03-09.

As of what date were the Jung Won Park's details last updated?

The information pertaining to the Jung Won Park, including its address, specialty, and other details, was most recently updated on 2017-02-07.

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