Parkeville LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PARKEVILLE LLC

Doing business as

MEGA HEALTH VITAMINS

Practice address

15435 S Western Ave Ste 117
Gardena, CA 90249-4324

Phone

(310) 768-0012

NPI assigned

Aug 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Sung Yi Kim

Title

Ceo

Phone

(310) 782-7555

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MEGA HEALTH VITAMINS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1740291590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE STE 117",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494324",
            "telephone_number": "310-768-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE STE 117",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494324",
            "telephone_number": "310-768-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "YI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-782-7555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02494F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEGA HEALTH VITAMINS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yu Ri Park
• Alvin Parker, MD
• Amber Kai Parker, RBT
• Hannah Parker
• Sirr Parker
• Kahliah Diamond Parks
• Justin A Parnell
• Linda Marie Parocua
• Nahal Parsangi, CCC-SLP
• Kent Jonathan Parsons

• Durable Medical Equipment & Medical Supplies in Gardena, CA
• Providers in Gardena, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.