Eung Gyeong Park

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

23667 Issued in CA

Practice address

3111 N Tustin St Ste 100
Orange, CA 92865-1751

Phone

(818) 241-6780

Fax

(800) 819-7806

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eunice Park Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alp Psychology Associates, PC

  • Behavior Analyst
  • Huntington Beach, CA
  • NPI 1538507447

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1619509155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 S MAYFLOWER AVE STE 220",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910165239",
            "telephone_number": "818-241-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 N TUSTIN ST STE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651751",
            "telephone_number": "818-241-6780",
            "fax_number": "800-819-7806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Kingston Ave Apt 202",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "CA",
            "postal_code": "946114444",
            "country_code": "US",
            "telephone_number": "510-851-3012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARK",
        "first_name": "EUNG",
        "middle_name": "GYEONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "23667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUNICE",
            "last_name": "PARK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Park
• Daniel Hanul Park, MD
• Deborah Park
• Don Young Park, M.D.
• Eun-Kyung Park
• Grace Park
• Hana Park
• Harold S Park, MD
• Heran Angela Park, MD
• Hyun Sun Park, M.D.

• Occupational Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.