Minjung K Park, PH.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

60990 Issued in CA

Practice address

4881 La Palma Ave
La Palma, CA 90623-2019

Phone

(562) 860-0586

Fax

(562) 860-0767

NPI assigned

Jan 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Grace Community Pharmacy, Inc.

  • Long Term Care Pharmacy
  • La Palma, CA
  • NPI 1013726637
  NPD Authorized official
• Grace Community Pharmacy, Inc.

  • Community/Retail Pharmacy
  • La Palma, CA
  • NPI 1801047964
  NPD Authorized official

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

{
    "created_epoch": "1515024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656892800000",
    "number": "1780191312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232019",
            "telephone_number": "562-860-0586",
            "fax_number": "562-860-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 LA PALMA AVE",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906232019",
            "telephone_number": "562-860-0586",
            "fax_number": "562-860-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "MINJUNG",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-04",
        "last_updated": "2022-07-04",
        "certification_date": "2022-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "60990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Pamintuan, MPT
• Aditi Pampaniya, D.D.S
• Avni Bansi Pandya, MD
• Grace S Park, LAC, PH.D
• Ki Taek Park, LICAC OMD
• Dharini Mahendra Patel, M.D.
• Kanu K Patel, MD
• Mahendra Somabhai Patel, M.D.
• Snahin Hitendra Patel
• Bethany Peck

• Pharmacist in La Palma, CA
• Providers in La Palma, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.