JONG HYUN PARK
NPI 1508493008
Pediatrics in Los Angeles, CA

Q: What is Jong Park's NPI number?

The NPI number for Jong Park is 1508493008. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Jong Park's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jong Park was last updated on February 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2020PECOS Enrolled

1200 N STATE ST, LOS ANGELES, CA 90089(323) 409-1000 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Jong Hyun Park NPPES

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

JONG HYUN PARK (NPI 1508493008) is an individual pediatrics provider in Los Angeles, California, licensed in California (A186433) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508493008

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJONG HYUN PARK

Location Address1200 N STATE STLos Angeles, CA 90089-1001

Mailing AddressPo Box 2352La Habra, CA 90632-2352

Phone(323) 409-1000

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateFebruary 27, 2024

NPPES CertifiedFebruary 27, 2024

✔ NPI 1508493008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A186433

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1200 N STATE ST, Los Angeles, CA 90089

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jong Hyun Park 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. MADELEINE DISTASO BRUNING NP

Nurse Practitioner (Pediatrics)

1200 N STATE ST, IRD 116
LOS ANGELES, CA 90089

Los Angeles County (323) 226-5609

MARY ANNE NALLY FNP

Registered Nurse