SUSAN JUNG PARK
NPI 1114253515
Family Medicine in Fountain Valley, CA

Active since October 20, 2009
11420 WARNER AVE, FOUNTAIN VALLEY, CA 92708(714) 549-1300 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Jung Park NPPES

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

SUSAN JUNG PARK (NPI 1114253515) is an individual family medicine provider in Fountain Valley, California, licensed in California (77563) and active in the NPI registry since October 2009.

NPPES Registry Identity

NPI1114253515
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN JUNG PARK
Location Address11420 WARNER AVEFountain Valley, CA 92708-2529
Mailing Address2742 Dow AveTustin, CA 92780-7242 · (714) 665-1600
Sole ProprietorYes
Enumeration DateOctober 20, 2009
Last NPPES UpdateMay 19, 2010
NPI 1114253515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 77563
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11420 WARNER AVE, Fountain Valley, CA 92708

Other Names 1

Former Name (1)Susan Seungwon Jung M.d.

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Physical Therapy Assistant
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Internal Medicine
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner (Family)
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Marriage & Family Therapist
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Internal Medicine
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708
Nurse Practitioner
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708

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 Susan Park's NPI number?

The NPI number for Susan Park is 1114253515. It was assigned to this individual provider in the NPPES registry on October 20, 2009. The provider is also known as Susan Seungwon Jung M.D..

Where is Susan Park located?

Susan Park practices at 11420 Warner Ave, Fountain Valley, CA 92708. The listed phone number is (714) 549-1300.

What is Susan Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Susan Park accept?

Health plans from Humana list Susan Park as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Susan Park was last updated on May 19, 2010. 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.