Joong Y Park M D Medical Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JOONG Y PARK M D MEDICAL CORP

Practice address

9828 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1659

Phone

(714) 530-9633

NPI assigned

Oct 7, 2011

Organization subpart

No

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

Authorized official

Name

Joong Y Park

Title

MD

Phone

(714) 530-9633

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1265716229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9828 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441659",
            "telephone_number": "714-530-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOONG Y PARK M D MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-07",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOONG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-530-9633"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Jones, DDS
• Tamara Jones, B.S.
• Thomas Joseph Jones IV
• Jongro Medical Supply Inc
• Victoria Joo
• Joong Young Park M.D. Inc.
• Victor Jordan
• Joshua Jorge
• Jose Miranda MD Inc.
• Joshua House, LLC

• General Practice Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; 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.