JOONG YOUNG PARK M.D. INC.
NPI 1104014034
General Practice in Garden Grove, CA

Q: What is Joong Young Park M.D. Inc.'s NPI number?

The NPI number for Joong Young Park M.D. Inc. is 1104014034. It was assigned to this organization in the NPPES registry on October 4, 2007.

Q: What is Joong Young Park M.D. Inc.'s specialty?

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

Active since October 04, 2007

9535 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844(714) 534-1112(714) 534-1116 Get Directions Write a Review

NPPES record last updated: September 16, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Joong Young Park M.d. Inc. NPPES

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

JOONG YOUNG PARK M.D. INC. (NPI 1104014034) is a healthcare organization registered as a general practice in Garden Grove, California and active in the NPI registry since October 2007. The organization lists Joong Young Park, President, as its authorized official.

NPPES Registry Identity

NPI1104014034

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameJOONG YOUNG PARK M.D. INC.

Location Address9535 GARDEN GROVE BLVD STE 104Garden Grove, CA 92844-1551

Mailing Address9535 Garden Grove Blvd Ste 104Garden Grove, CA 92844-1551 · (714) 534-1112 · Fax (714) 534-1116

Phone(714) 534-1112

Fax(714) 534-1116

Organization SubpartNo

Authorized OfficialJoong Young ParkPresident · (714) 534-1112

Enumeration DateOctober 4, 2007

Last NPPES UpdateSeptember 16, 2009

✔ NPI 1104014034 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

9535 GARDEN GROVE BLVD STE 104, Garden Grove, CA 92844

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Other Identifiers 3

Medicare PINW21586CA

Medicare UPINE98954CA

Medicaid00A390590CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Young Park M.D. Inc.'s NPI number?

The NPI number for Joong Young Park M.D. Inc. is 1104014034. It was assigned to this organization in the NPPES registry on October 4, 2007.

Where is Joong Young Park M.D. Inc. located?

Joong Young Park M.D. Inc. is located at 9535 Garden Grove Blvd Ste 104, Garden Grove, CA 92844. The listed phone number is (714) 534-1112.

What is Joong Young Park M.D. Inc.'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 Young Park M.D. Inc. was last updated on September 16, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.