Yunchul John Pak MD Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A38260 Issued in CA

Legal business name

YUNCHUL JOHN PAK MD INC

Practice address

1433 W Merced Ave
#205
West Covina, CA 91790

Phone

(626) 337-7267

Fax

(626) 337-6847

NPI assigned

Jan 18, 2007

Reactivated

Aug 19, 2014

Last updated

Aug 19, 2014By 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

Yunchul John Pak, MDNPI 1639223837

Title

Employer Owner

Phone

(626) 337-7267

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yunchul John Pak, MD

  • Pediatrics Physician
  • West Covina, CA
  • NPI 1639223837
  NPD (past) Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1467504225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-337-7267",
            "fax_number": "626-337-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE",
            "address_2": "#205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-337-7267",
            "fax_number": "626-337-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUNCHUL JOHN PAK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2014-08-19",
        "deactivation_date": "2013-08-07",
        "reactivation_date": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "YUNCHUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EMPLOYER OWNER",
        "authorized_official_telephone_number": "626-337-7267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A38260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young W. Kim DDS, Inc.
• Yousefi Dental Group of West Covina Inc
• Kwun Man Simon Yu, DC
• Shubing Yu
• Ivy Yuan
• Norma Jean Yuriar, LCSW
• Christopher Yuvienco
• Samantha Zamora Gaytan
• Sylissa Yolanda Zamora
• Danyela Alycia Zamudio, LMFT, APCC

• Pediatrics Physician in West Covina, CA
• Providers in West Covina, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.