Jae Paul Pak, M.D. Corporation

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A96732 Issued in CA

Legal business name

JAE PAUL PAK, M.D. CORPORATION

Practice address

5757 Wilshire Blvd
Suite 2
Los Angeles, CA 90036-5810

Phone

(310) 849-0326

NPI assigned

May 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jae Paul Pak, M.D.NPI 1780878991

Title

President

Phone

(310) 849-0326

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae Paul Pak, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1780878991
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1013139856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20849 BRIGHTON AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD",
            "address_2": "SUITE 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900365810",
            "telephone_number": "310-849-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAE PAUL PAK, M.D. CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JAE",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-849-0326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A96732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Jadidian, PHARMD
• Hossein Jadvar, M.D.
• Reza Jadvar, MD
• Jae G. Kim Professional Dental Corporation
• Jae Hoon Lee MD Inc
• Jae Yon Chung Dental Inc
• Jae Yon Chung DMD Dental Corporation
• Jae Yong Yoo, M.D., Inc
• Gretchen M Jaeger, SP
• Kelly M Jaeger, ATC

• Emergency Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.