James Jongtak Park is a Neurology in Irvine, California. James Jongtak Park practices all healthcare services and medical treatments related to Neurology. The NPI Number for James Jongtak Park is 1306871421. The last update date is 2007-07-26.
James Jongtak Park's current location address is 11 Flora Spgs, Irvine, California. You can contact this provider via phone number 7148477392 and fax number 7148477396. The mailing address for James Jongtak Park is 11 Flora Spgs, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Jongtak Park |
|---|---|
| Address | 11 Flora Spgs, Irvine, California |
| Phone Number | 7148477392 |
| Fax Number | 7148477396 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1306871421 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 11 Flora Spgs |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926022412 |
| Phone Number | 7148477392 |
| Fax Number | 7148477396 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 20A7365 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00AX73650 | CA | MEDI-CAL | |
| ZZZ04904Z | CA | BLUE SHIELD OF CALIFORNIA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Jongtak Park by the Centers for Medicare & Medicaid Services?
The James Jongtak Park has been assigned the NPI (National Provider Identifier) 1306871421 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of James Jongtak Park?
The James Jongtak Park is situated at 11 Flora Spgs, in the city of Irvine, state of CA, with the zip code 926022412.
What is James Jongtak Park's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for James Jongtak Park is Neurology, and the corresponding taxonomy classification code for this specialized field is 2084N0400X.
When did James Jongtak Park receive its 1306871421 assignment?
The James Jongtak Park was assigned its 1306871421 on 2006-07-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to James Jongtak Park last refreshed?
The information related to the James Jongtak Park, including its address, specialty, and other relevant details, was last updated on 2007-07-26.