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HYUN SOO PARK MD
NPI 1245080209
Student in an Organized Health Care Education/Training Program in Eureka, CA

Active since March 25, 2024PECOS Enrolled
2700 DOLBEER ST, EUREKA, CA 95501(707) 445-8121 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyun Soo Park Md NPPES

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

HYUN SOO PARK MD (NPI 1245080209) is an individual student in an organized health care education/training program in Eureka, California and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245080209
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameHYUN SOO PARKCredential: MD
Location Address2700 DOLBEER STEureka, CA 95501-4736
Mailing Address2700 Dolbeer StEureka, CA 95501-4736 · (707) 445-8121
Phone(707) 445-8121
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1245080209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
2700 DOLBEER ST, Eureka, CA 95501
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hyun Soo Park Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MELISSA CHRISTINE LONG PA-C
Physician Assistant (Surgical)
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 445-8121
MARC PRINCELY BERNALDEZ BACARRO
Student in an Organized Health Care Education/Training Program
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 445-8121
DR. RICHARD BRIAN MOORE M.D.
Anesthesiology
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 442-4848
MR. ROBERT JOHN GOMES OTRL
Occupational Therapist (Hand)
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 445-8121
GERALD STEWART BUNTIN M.D.
Hospitalist
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 269-4253
EUREKA RADIATION ONCOLOGY CONSULTANTS
Radiologic Technologist (Radiation Therapy)
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 269-4229
ERIC GERDES D.O.
Emergency Medicine
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 269-4250
ASHLEY BROOKE SAVIO PHARMD
Pharmacist
2700 DOLBEER ST
EUREKA, CA 95501
Humboldt County (707) 445-8121

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 Hyun Soo Park's NPI number?

The NPI number for Hyun Soo Park is 1245080209. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Hyun Soo Park located?

Hyun Soo Park practices at 2700 Dolbeer St, Eureka, CA 95501. The listed phone number is (707) 445-8121.

What is Hyun Soo Park's specialty?

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

Is Hyun Soo Park enrolled in Medicare?

Yes. Hyun Soo Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hyun Soo Park was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.