Jun Wan Park, is a
Student In An Organized Health Care Education/training Program based in San Leandro, California. Jun Wan Park is licensed to practice in NU (license number ) and his current practice location is
101 Callan Ave, #400, San Leandro, California. He can be reached at his office (for appointments etc.) via phone at
(510) 444-1671.
NPI number for Jun Wan Park is 1598583932 and his current mailing address is 101 Callan Ave, #400, San Leandro, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1598583932.
Healthcare Provider's Profile
| Full Name | Jun Wan Park |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 101 Callan Ave, San Leandro, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598583932
- Provider Enumeration Date: 10/02/2024
- Last Update Date: 10/24/2025
Medical Identifiers
Medical identifiers for Jun Wan Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598583932 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
| 172V00000X | Community Health Worker | (NU) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jun Wan Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jun Wan Park,
101 Callan Ave, #400,
San Leandro, CA 94577
Ph: (510) 444-1671 | Jun Wan Park,
101 Callan Ave, #400,
San Leandro, CA 94577
Ph: (510) 444-1671 |
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