JENNIFER YOON GAAHEE PARK PA-C
NPI 1558516708
Physician Assistant - Medical in Cerritos, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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).
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.
CERRITOS, CA 90703
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 Jennifer Park's NPI number?
The NPI number for Jennifer Park is 1558516708. It was assigned to this individual provider in the NPPES registry on December 1, 2008. The provider is also known as Jennifer Yoon PA.
Where is Jennifer Park located?
Jennifer Park practices at 11900 South St, Cerritos, CA 90703. The listed phone number is (888) 227-3312.
What is Jennifer Park's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jennifer Park enrolled in Medicare?
Yes. Jennifer Park is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennifer Park was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jennifer Yoon Gaahee Park, PA-C · NPI 1558516708
Medical physician in Cerritos, California. Individual provider, active in the CMS NPPES registry since December 1, 2008.
## Identity
- **NPI:** 1558516708 (Entity type: Individual)
- **Enumerated:** December 1, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA18765 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11900 SOUTH ST, Cerritos, CA 90703-6847
- **Phone:** (888) 227-3312
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 24, 2021
- **Other identifiers:** Other PA18765 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1558516708) · Data from the CMS NPPES public registry.