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JENNIFER YOON GAAHEE PARK PA-C
NPI 1558516708
Physician Assistant - Medical in Cerritos, CA

Active since December 01, 2008PECOS Enrolled
11900 SOUTH ST, CERRITOS, CA 90703(888) 227-3312 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 24, 2021, Apr 20, 2021 (2 updates tracked since 2021).

About Jennifer Yoon Gaahee Park Pa-c NPPES

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

JENNIFER YOON GAAHEE PARK PA-C (NPI 1558516708) is an individual medical provider in Cerritos, California, licensed in California (PA18765) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558516708
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER YOON GAAHEE PARKCredential: PA-C
Location Address11900 SOUTH STCerritos, CA 90703-6847
Mailing Address1802 Rainbow Terrace LnMontebello, CA 90640-1951 · (323) 566-4111
Phone(888) 227-3312
Sole ProprietorYes
Enumeration DateDecember 1, 2008
Last NPPES UpdateJune 24, 20212 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1558516708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · PA18765
11900 SOUTH ST, Cerritos, CA 90703
Open in Google Maps ↗

Other Names 1

Professional Name (2)Jennifer Yoon Pa

Other Identifiers 1

OtherPA18765CA · Consumer Affairs-ca

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Yoon Gaahee Park Pa-c 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 5

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

ESTHER LEE AHN O.D.
Optometrist
11900 SOUTH ST, STE 121
CERRITOS, CA 90703
Los Angeles County (562) 809-4041
DR. PAUL KWANSOO KIM DMD
Dentist
11900 SOUTH ST, # 122
CERRITOS, CA 90703
Los Angeles County (562) 809-6177
ESTHER L. AHN OPTOMETRIC PROFESSIONAL CORPORATION
Optometrist
11900 SOUTH ST, SUITE 121
CERRITOS, CA 90703
Los Angeles County (562) 809-4041
AMITA PATEL OD
Optometrist
11900 SOUTH ST, ST 121
CERRITOS, CA 90703
Los Angeles County (562) 809-4041
GRACE SUN AH CHO O.D.
Optometrist
11900 SOUTH ST, SUITE 121
CERRITOS, CA 90703
Los Angeles County (562) 809-4041

Frequently Asked Questions

What is Jennifer Park's NPI number?

The NPI number assigned to this healthcare provider is 1558516708, enumerated as an "individual" on December 01, 2008.

Where is the provider located?

The provider is located at 11900 SOUTH ST CERRITOS, CA 90703 and the phone number is (888) 227-3312.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

What insurance does Jennifer Park accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.