Active NPI
Sohee Park
- Pharmacist
- Norwalk, CA
National Provider Identifier
1205448784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 89884
- Practice address
- 12051 Imperial Hwy
Norwalk, CA 90650-3084 - Phone
- (818) 967-7948
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 89884 | CA | Primary |
Addresses
Primary practice location
12051 Imperial Hwy
Norwalk, CA 90650-3084
Mailing address
14896 Cordoba PLZ
Westminster, CA 92683-5418
Phone (818) 967-7948
Other names 1
- So Hee Park
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89884 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1205448784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14896 CORDOBA PLZ",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926835418",
"telephone_number": "818-967-7948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12051 IMPERIAL HWY",
"city": "NORWALK",
"state": "CA",
"postal_code": "906503084",
"telephone_number": "818-967-7948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARK",
"first_name": "SOHEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-17",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "89884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SO HEE",
"last_name": "PARK",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.