First Medical Center - Yoon Pak, MD

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A062072 Issued in CA

Legal business name

FIRST MEDICAL CENTER - YOON PAK, MD

Doing business as

First Medical Center

Practice address

11841 South St
Cerritos, CA 90703-6825

Phone

(562) 809-8082

NPI assigned

Mar 5, 2012

Last updated

Oct 25, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

Sr Director Ops

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• FIRST MEDICAL CENTER Doing business as

Part of

Medvantx Inc

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.

• Jaesoo Pak, M.D.

  • Gastroenterology Physician
  • Cerritos, CA
  • NPI 1023124054
  NPD

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1699049940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11841 SOUTH ST",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036825",
            "telephone_number": "562-809-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST MEDICAL CENTER - YOON PAK, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "SR DIRECTOR OPS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A062072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FIRST MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gilberto Figueroa, PSB94025462
• Melissa Lee Finnegan
• Arleen Martha Fiorito, FNP-BC CNS
• First Choice Home Health Services, Inc.
• First Class Wound Care Corp
• First Medical Center Inc
• Firstsight Vision Services, Inc.
• Heather Crabtree Fitchner, FNP
• Deric Fitzgerald
• Alicia Flores

• Non-Pharmacy Dispensing Site in Cerritos, CA
• Providers in Cerritos, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.