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JOONG Y PARK MD
NPI 1003839002
General Practice in Los Angeles, CA

Active since July 25, 2006
3511 W OLYMPIC BL, #101, LOS ANGELES, CA 90019(323) 766-1057(323) 766-8790 Get Directions Write a Review

NPPES record last updated: December 6, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joong Y Park Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOONG Y PARK MD (NPI 1003839002) is an individual general practice provider in Los Angeles, California, licensed in California (A39059) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1003839002
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJOONG Y PARKCredential: MD
Location Address3511 W OLYMPIC BL, #101Los Angeles, CA 90019
Mailing Address3511 W Olympic Bl, #101Los Angeles, CA 90019 · (323) 766-1057 · Fax (323) 766-8790
Phone(323) 766-1057
Fax(323) 766-8790
Sole ProprietorNo
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 6, 2010
✔ NPI 1003839002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · A39059
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3511 W OLYMPIC BL, Los Angeles, CA 90019
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Other Identifiers 2

Medicaid00A390590CA
Medicare ID-Type UnspecifiedWA39059JCA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joong Park's NPI number?

The NPI number for Joong Park is 1003839002. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Joong Park located?

Joong Park practices at 3511 W Olympic Bl #101, Los Angeles, CA 90019. The listed phone number is (323) 766-1057.

What is Joong Park's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Joong Park was last updated on December 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.