Ellen Sunghee Park

Primary specialty

PharmacistTaxonomy code 183500000X

License

78909 Issued in CA

Practice address

1011 Baldwin Park Blvd
Baldwin Park, CA 91706-5806

Phone

(626) 851-7523

NPI assigned

Oct 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540684800000",
    "number": "1174090179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 COMMONWEALTH AVE",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910112401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BALDWIN PARK BLVD",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917065806",
            "telephone_number": "626-851-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "ELLEN",
        "middle_name": "SUNGHEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-28",
        "last_updated": "2018-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "78909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisol Palomera
• Jeanne P Pan
• Laura Janelle Panama, PT
• Mariano Panelo Panes, M.D.
• Victoria R. Pardo, MD
• Steven K. Park, M.D.
• Parkview Medical Center
• Brandy Nicole Patricio
• Finster L. Paul II, MD
• Megan Pearson-Cody, M.D.

• Pharmacist in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2018; 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.