JOOHEON PARK DO
NPI 1205626314
Student in an Organized Health Care Education/Training Program in Porterville, CA

Active since May 12, 2025
465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 748-1110 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jooheon Park Do NPPES

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

JOOHEON PARK DO (NPI 1205626314) is an individual student in an organized health care education/training program in Porterville, California and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1205626314
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOOHEON PARKCredential: DO
Location Address465 W PUTNAM AVEPorterville, CA 93257-3320
Mailing Address465 W Putnam AvePorterville, CA 93257-3320 · (559) 748-1110
Sole ProprietorNo
Enumeration DateMay 12, 2025
NPPES CertifiedMay 11, 2025
NPI 1205626314 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.
465 W PUTNAM AVE, Porterville, CA 93257

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
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Physician Assistant
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Internal Medicine (Cardiovascular Disease)
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257
Student in an Organized Health Care Education/Training Program
465 W PUTNAM AVE
PORTERVILLE, CA 93257

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 Jooheon Park's NPI number?

The NPI number for Jooheon Park is 1205626314. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Jooheon Park located?

Jooheon Park practices at 465 W Putnam Ave, Porterville, CA 93257. The listed phone number is (559) 748-1110.

What is Jooheon 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 Jooheon Park was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.