Sung Park, M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A62508 Issued in CA

Legal business name

SUNG PARK, M.D., INC.

Practice address

6283 Clark Rd Ste 5
Paradise, CA 95969-4100

Phone

(530) 877-5083

Fax

(530) 877-5085

NPI assigned

Mar 23, 2006

Last updated

Apr 17, 2009By 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. Sung Joo Park, M.D.NPI 1396741518

Title

Administrator

Phone

(530) 877-5083

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.

• Sung Park, M.D.

  • Obstetrics & Gynecology Physician
  • Paradise, CA
  • NPI 1396741518
  NPD (past) Authorized official

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1548229883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD STE 5",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-5083",
            "fax_number": "530-877-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6283 CLARK RD STE 5",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694100",
            "telephone_number": "530-877-5083",
            "fax_number": "530-877-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG PARK, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "JOO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-877-5083",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A62508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Gay Stott-Stewart
• Laura Strachan, RPT
• Edward Carl Strong, D.C.
• Ann Mary Sullivan, LMFT
• Sunbridge Paradise Rehabilitation Center LLC (Pine View Center)
• Sunshine Homecare and Hospice of Butte County
• Sunshine Homecare and Hospice of Butte County
• Sunshine Village of Paradise, a California Corporation (Sunshine Assisted Living - The Cottage)
• Jadie Joan Swietanski, FNP-BC
• Valerie Leigh Sykes, SLP

• Primary Care Clinic/Center in Paradise, CA
• Providers in Paradise, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; 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.