| Dr Jay H Park, MD | |
|
200 W Arbor Dr, San Diego, CA 92103-9000 | |
| (800) 926-8273 | |
| (888) 539-8781 |
| Full Name | Dr Jay H Park |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 200 W Arbor Dr, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366478372 | NPI | - | NPPES |
| 267471800 | Medicaid | FL | |
| 79950 | Other | FL | BLUE SHIELD OF FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | C171205 (California) | Primary |
| Entity Name | Nes Medical Services Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215455191 PECOS PAC ID: 0840181392 Enrollment ID: O20040323001392 |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | Fpa Hospital Based |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay H Park, MD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Dr Jay H Park, MD 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
Sarah Wilkinson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8819, San Diego, CA 92103 Phone: 956-458-9885 | |
Dr. Ramandeep Singh Dhillon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5454 El Cajon Blvd, San Diego, CA 92115 Phone: 619-515-2400 | |
Phillip Edward Fry Jr., DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-6400 | |
Mina Kyrollus Ghobrial, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Timothy Stuart Hinman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Ave, San Diego, CA 92101 Phone: 858-499-2600 | |
Dr. Peter D. Aldrich, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 15025 Innovation Dr, San Diego, CA 92128 Phone: 858-554-8638 | |
Dr. Matthew J. Perl, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 15004 Innovation Dr, San Diego, CA 92128 Phone: 858-605-7171 |