Dr. Jung Won Park
M.D. | Pediatrics | Male
Dr. Jung Won Park, M.D. is a Sacramento, California based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Jung Won Park is also known as
Jay Won Park.
Current practice location of Dr. Jung Won Park is
7215 55th St, Sacramento, California - 95823-2601. He can be contacted on phone at
916-399-1100 and fax number 877-860-2397.
Dr. Jung Won Park is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jung Won Park is
1184756082 which was assigned by NPPES on 09 Mar, 2007 and it was last updated on 07 Feb, 2017.
Dr. Jung Won Park license number is
C56214 for Pediatrics (208000000X) in California.
Dr. Jung Won Park is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jung Won Park basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jung Won Park |
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| Other Name : | Jay Won Park |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Jung Won Park address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7215 55th St
Sacramento, CA, 95823-2601
United States |
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| Phone Number : | 916-399-1100 |
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| Fax Number : | 877-860-2397 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184756082 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 09 Mar, 2007 |
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| Last Updated On : | 07 Feb, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jung Won Park are as mentioned. Primary taxonomy code for Dr. Jung Won Park, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | G9781 | TX |
| 208000000X | Pediatrics | Yes | C56214 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Jung Won Park such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 118238804 | MEDICAID | TX | |
| P01758328-DV5277 | Other | CA | RR MEDICARE |
| 89C759 | Other | TX | BCBS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 200 Oceangate, Suite 100
Long Beach, CA, 90802-4317
United States |
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| Phone Number : | 562-499-6191 |
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| Fax Number : | 877-860-2397 |
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Business Location:
Patients can refer following map for directions to
Dr. Jung Won Park practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.