Yung J Park, RPH

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY36871 Issued in CA

Practice address

5014 Huntington Dr South
Los Angeles, CA 90032-1698

Phone

(323) 222-2362

Fax

(323) 225-4171

NPI assigned

Dec 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1982766168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 HUNTINGTON DR SOUTH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321698",
            "telephone_number": "323-222-2362",
            "fax_number": "323-225-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 HUNTINGTON DR SOUTH",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900321698",
            "telephone_number": "323-222-2362",
            "fax_number": "323-225-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "YUNG",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH40035",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY36871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA368710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "RPH40035",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yongeul Park, LAC
• Young H Park
• Young Il Park, FNP
• Young Jae Park, DC
• Youngsun Park, ACUPUNCTURE
• Yury Park, R.D.N.
• Yusol Anne Park
• Yuyoung Park, RPH
• Chong Young Parke, M.D.
• Kimberly Parker Lundy

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.