Sara Soyoung Park, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

54811 Issued in CA

Practice address

3767 Clarington Ave Apt 336
Los Angeles, CA 90034-5844

Phone

(323) 868-7012

NPI assigned

Jul 16, 2007

Last updated

Jul 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1689873150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3767 CLARINGTON AVE APT 336",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 CLARINGTON AVE APT 336",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900345844",
            "telephone_number": "323-868-7012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "SARA",
        "middle_name": "SOYOUNG",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "54811",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP438779",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sang Jin Park, PHARMACIST
• Sang Kyu Park
• Sang Woo Park, O.M.D.
• Sangdo Park, MD
• Sangji Emily Park, LMFT
• Sarah Eugene Park, MD
• Sarah H. Park
• SE Jin Park
• Sean Park, PT
• Seiyoung Park, L.AC

• Pharmacist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.