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WOORI MEDICAL GROUP PROFESSIONAL CORP
NPI 1275764706
General Practice in San Diego, CA

Active since July 31, 2009CLIA 05D1077007 · Waiver
7825 ENGINEER RD, STE 101, SAN DIEGO, CA 92111(858) 277-7111(858) 277-7667 Get Directions Write a Review

NPPES record last updated: March 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Woori Medical Group Professional Corp NPPES

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

WOORI MEDICAL GROUP PROFESSIONAL CORP (NPI 1275764706) is a healthcare organization registered as a general practice in San Diego, California and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through November 28, 2027 and lists Ro Jong Park, President, as its authorized official.

NPPES Registry Identity

NPI1275764706
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWOORI MEDICAL GROUP PROFESSIONAL CORP
Location Address7825 ENGINEER RD, STE 101San Diego, CA 92111-1924
Mailing Address7825 Engineer Rd, Ste 101San Diego, CA 92111-1924 · (858) 277-7111
Phone(858) 277-7111
Fax(858) 277-7667
Organization SubpartNo
Authorized OfficialRo Jong ParkPresident · (858) 277-7111
Enumeration DateJuly 31, 2009
Last NPPES UpdateMarch 20, 2015
✔ NPI 1275764706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · C51913
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
Also ListedInternal MedicineTaxonomy 207R00000X · License C51444 (CA)
7825 ENGINEER RD, San Diego, CA 92111
Open in Google Maps ↗

Other Identifiers 1

Medicaid1275764706CA

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1077007

Woori Medical Group, Professional Corp · San Diego, CA
Active · expires Nov 28, 2027
CLIA Number05D1077007
Laboratory TypePhysician Office
Certificate Effective DateNovember 29, 2025
Certificate Expiration DateNovember 28, 2027
Laboratory DirectorRo J. Park MD
Laboratory Phone(858) 277-7111
Laboratory LocationWoori Medical Group, Professional Corp7825 Engineering Road Suite 101, San Diego, CA 92111
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WHAN SIL KIM M.D.
Internal Medicine
7825 ENGINEER RD, SUITE 101
SAN DIEGO, CA 92111
San Diego County (858) 277-7111
DR. HEESEON KO D.D.S.
Dentist (General Practice)
7825 ENGINEER RD
SAN DIEGO, CA 92111
San Diego County (858) 279-1004
EUGENE KIM DDS INC
Dentist (General Practice)
7825 ENGINEER RD, STE 111
SAN DIEGO, CA 92111
San Diego County (858) 279-1004
RO JONG PARK MD
Surgery
7825 ENGINEER RD, #101
SAN DIEGO, CA 92111
San Diego County (858) 277-7111

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 Woori Medical Group Professional Corp's NPI number?

The NPI number for Woori Medical Group Professional Corp is 1275764706. It was assigned to this organization in the NPPES registry on July 31, 2009.

Where is Woori Medical Group Professional Corp located?

Woori Medical Group Professional Corp is located at 7825 Engineer Rd Ste 101, San Diego, CA 92111. The listed phone number is (858) 277-7111.

What is Woori Medical Group Professional Corp's specialty?

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

Does Woori Medical Group Professional Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1077007) is associated with this NPI, valid through November 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woori Medical Group Professional Corp was last updated on March 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.