DR. JUNG MOK PARK M.D.
NPI 1508872243
Obstetrics & Gynecology in Downey, CA

Q: What is Jung Park's NPI number?

The NPI number for Jung Park is 1508872243. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Q: What is Jung Park's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Jung Park was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 01, 2006PECOS Enrolled

11480 BROOKSHIRE AVE, SUITE 204, DOWNEY, CA 90241(562) 862-2775(562) 904-8095 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jung Mok Park M.d. NPPES

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

DR. JUNG MOK PARK M.D. (NPI 1508872243) is an individual obstetrics & gynecology provider in Downey, California, licensed in California (52223) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508872243

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. JUNG MOK PARKCredential: M.D.

Location Address11480 BROOKSHIRE AVE, SUITE 204Downey, CA 90241-5026

Mailing Address75 Remittance Dr, Dept 6008Chicago, IL 60675-6008 · (562) 282-1419 · Fax (562) 920-4642

Phone(562) 862-2775

Fax(562) 904-8095

Sole ProprietorNo

Enumeration DateAugust 1, 2006

Last NPPES UpdateSeptember 21, 2016

✔ NPI 1508872243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in CA · 52223✔ Licensed in CA · A52223

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

11480 BROOKSHIRE AVE, Downey, CA 90241

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Other Identifiers 6

Medicare UPING24931CA

Other00A522230CA · Blue Shield

Other160055247CA · Railroad Medicare

Medicaid00A522230CA

Other160055247CA · Medicare Railroad

Medicare PINWA52223CCA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jung Mok Park M.d. 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 90241 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

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

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

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