SOO HWAN PARK
NPI 1114775319
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since May 11, 2024
1101 VAN NESS AVE # 1120, SAN FRANCISCO, CA 94109(415) 600-3954 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soo Hwan Park NPPES

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

SOO HWAN PARK (NPI 1114775319) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1114775319
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSOO HWAN PARK
Location Address1101 VAN NESS AVE # 1120San Francisco, CA 94109-6919
Mailing Address1101 Van Ness Ave # 1120San Francisco, CA 94109-6919
Sole ProprietorYes
Enumeration DateMay 11, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
NPI 1114775319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1101 VAN NESS AVE # 1120, San Francisco, CA 94109

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.

Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE # 1120
SAN FRANCISCO, CA 94109

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 Soo Hwan Park's NPI number?

The NPI number for Soo Hwan Park is 1114775319. It was assigned to this individual provider in the NPPES registry on May 11, 2024.

Where is Soo Hwan Park located?

Soo Hwan Park practices at 1101 Van Ness Ave # 1120, San Francisco, CA 94109. The listed phone number is (415) 600-3954.

What is Soo Hwan Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Soo Hwan Park was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.