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STEPHEN JOON PARK
NPI 1700346996
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 22, 2019PECOS Enrolled
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90089(323) 442-9064 Get Directions Write a Review

NPPES record last updated: September 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2022, Mar 22, 2019 (2 updates tracked since 2019).

About Stephen Joon Park NPPES

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

STEPHEN JOON PARK (NPI 1700346996) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700346996
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSTEPHEN JOON PARK
Location Address1200 N STATE ST, CLINIC TOWER, SUITE A7DLos Angeles, CA 90089-1001
Mailing Address1200 N State St, Clinic Tower, Suite A7dLos Angeles, CA 90089-1001
Phone(323) 442-9064
Sole ProprietorNo
Enumeration DateMarch 22, 2019
Last NPPES UpdateSeptember 21, 20222 updates tracked since enumeration
✔ NPI 1700346996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N STATE ST, Los Angeles, CA 90089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephen Joon 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.

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. EISHA ANNE CHRISTIAN MD
Neurological Surgery
1200 N STATE ST, SUITE 3300
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7421
LAURA MARIA VELEZ TURIZO MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-7053
DR. CASSIDY BENDER MD
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (626) 825-4601
ARGEREY STAPAKIS
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-5707
ANH-THO ANTOINETTE THI NGUYEN
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (714) 309-6525
JESSICA HONG
Student in an Organized Health Care Education/Training Program
1200 N STATE ST, CT-A7D
LOS ANGELES, CA 90089
Los Angeles County (323) 226-7556
JOOYEON KIM
Student in an Organized Health Care Education/Training Program
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 341-3128
MELISSA GRACE MYO MD
Obstetrics & Gynecology
1200 N STATE ST
LOS ANGELES, CA 90089
Los Angeles County (323) 409-6240

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 Stephen Park's NPI number?

The NPI number for Stephen Park is 1700346996. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Stephen Park located?

Stephen Park practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90089. The listed phone number is (323) 442-9064.

What is Stephen Park's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephen Park enrolled in Medicare?

Yes. Stephen Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephen Park was last updated on September 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.