Yoong Jong Park MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A30985 Issued in CA

Legal business name

YOONG JONG PARK MD INC

Practice address

1720 W Avenue J
Lancaster, CA 93534-2700

Phone

(661) 952-1100

Fax

(661) 952-1103

NPI assigned

Oct 13, 2006

Last updated

Oct 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yoong Jong Park, M.D.

Title

President

Phone

(661) 945-5780

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1174613681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 1ST ST",
            "address_2": "SUITE 1000",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915021938",
            "telephone_number": "818-845-6206",
            "fax_number": "818-845-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342700",
            "telephone_number": "661-952-1100",
            "fax_number": "661-952-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOONG JONG PARK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YOONG",
        "authorized_official_middle_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-945-5780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A30985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "00A309850",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A309850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jehangir Yeganeh, M.D.
• Trisha Yegazarian, LMFT
• Sarah May Yoo, M.S.
• Kevin Kwangbin Yoon, M.D.
• Linda Yoon, PHARM.D.
• Chanice Youell
• Poincianna Youell, NP
• Young J. Ko, MD a Medical Corp
• Young K. Lai, M.D., Medical Corporation
• Young Physical Therapy (Young Physical Therapy Specialty Center)

• Anesthesiology Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2008; 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.