Active NPI
Yoon Pak MD Medical Imaging Center
- Adult Medicine Physician
- Cerritos, CA
National Provider Identifier
1932341765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- A62072
- Legal business name
- YOON PAK MD MEDICAL IMAGING CENTER
- Practice address
- 11843 South St
Cerritos, CA 90703-6825 - Phone
- (562) 809-8082
- Fax
- (562) 809-3893
- NPI assigned
- Mar 25, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yoon S Pak, M.D.
- Title
- Medical Director
- Phone
- (562) 809-8082
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | A62072 | CA | Primary |
| Internal Medicine Physician | 207R00000X | G77617 | CA |
Addresses
Primary practice location
11843 South St
Cerritos, CA 90703-6825
Mailing address
11843 South St
Cerritos, CA 90703-6825
Phone (562) 809-8082
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237939200000",
"number": "1932341765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11843 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-809-8082",
"fax_number": "562-809-3893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11843 SOUTH ST",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036825",
"telephone_number": "562-809-8082",
"fax_number": "562-809-3893"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOON PAK MD MEDICAL IMAGING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-25",
"last_updated": "2009-03-25",
"status": "A",
"authorized_official_last_name": "PAK",
"authorized_official_first_name": "YOON",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "562-809-8082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "CA",
"license": "A62072",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "G77617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.