Active NPIIndividual provider

Jonathan Park, MD

Student in an Organized Health Care Education/Training Program in Orange, California

NPI Number1326797119
Practice location
101 The City Dr S Ste 400, Orange, CA 92868-3201
Fax
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Last updated
March 21, 2022

Jonathan Park is a Student in an Organized Health Care Education/Training Program based in Orange, CA. Jonathan Park practices in Orange, CA and has the professional credentials of MD. The NPI Number for Jonathan Park is 1326797119. The current practice location address for Jonathan Park is 101 The City Dr S Ste 400, Orange, CA 92868-3201 and can be reached out via phone at 714-456-5691.

Provider Profile Details

NPI Number
1326797119
Provider Name
Jonathan Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 The City Dr S Ste 400, Orange, CA 92868-3201
Phone Number
714-456-5691
Sole Proprietor
No
Provider Enumeration Date
March 21, 2022
Last Update Date
March 21, 2022
Certification Date
March 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
101 The City Dr S Ste 400
Orange, CA 92868-3201
City
Orange
Zip
92868-3201
Phone Number
714-456-5691
Orange, CA 92868Get directions →

Provider Business Mailing Address Details

Address
140 Aubinwood RD
Amherst, MA 01002-1690
City
Amherst
State
MA
Zip
01002-1690

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jonathan Park, MD?

The NPI number of Jonathan Park, MD is 1326797119. It was assigned on March 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Jonathan Park, MD?

Jonathan Park, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Jonathan Park, MD practice?

The practice location is 101 The City Dr S Ste 400, Orange, CA 92868-3201. The office can be reached at 714-456-5691 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326797119 directly on the NPPES registry website.

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