Organization Active NPI

Jun Park, M.D. Inc.

  • Anesthesiology Physician
  • Agoura Hills, CA
National Provider Identifier
1932028198
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
JUN PARK, M.D. INC.
Practice address
28821 Wagon Rd
Agoura Hills, CA 91301-2733
Phone
(323) 383-7775
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Jun Kyu Park, MD
Title
President
Phone
(323) 383-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

28821 Wagon Rd
Agoura Hills, CA 91301-2733

Mailing address

28821 Wagon Rd
Agoura Hills, CA 91301-2733
Phone (323) 383-7775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1932028198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28821 WAGON RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012733",
            "telephone_number": "323-383-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28821 WAGON RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012733",
            "telephone_number": "323-383-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUN PARK, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JUN",
        "authorized_official_middle_name": "KYU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-383-7775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.