Gyoung Park MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GYOUNG PARK MD, INC

Practice address

1125 E 17TH St
Suite N-257
Santa Ana, CA 92701-2201

Phone

(714) 543-1490

NPI assigned

Jun 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gyoung Jae Park, M.D.NPI 1871532309

Title

President

Phone

(714) 543-1490

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gyoung J Park, M.D.

  • Specialist
  • Los Angeles, CA
  • NPI 1871532309
  NPD (past) Authorized official
• Yoon Hee Choe, DDS

  • Dentist
  • Santa Ana, CA
  • NPI 1811099948
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760418040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE N-257",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-543-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 E 17TH ST",
            "address_2": "SUITE N-257",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927012201",
            "telephone_number": "714-543-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYOUNG PARK MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "GYOUNG",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-1490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Guzman
• Patricia Ayala Guzman
• Ramiro M Guzman III, CAADE
• Sonia M Guzman
• Andrea Gwinup
• Natalie Gyulnazaryan
• H a a D D, Inc
• H Joseph Khan M D Inc
• H. Reyhani Dental Corporation
• H.M. Sung M.D. Inc.

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.