| Ellie Hee Young Park, | |
|
16450 Veterans Way Unit 203, Tustin, CA 92782-2843 | |
| (917) 532-0537 | |
| Not Available |
| Full Name | Ellie Hee Young Park |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 16450 Veterans Way Unit 203, Tustin, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639711880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 615921 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Farnad Medical Corporation | 7810307998 | 37 |
| Entity Name | Olympic Anesthesia Partnership |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881707586 PECOS PAC ID: 9436178209 Enrollment ID: O20051122000431 |
| Entity Name | Farnad Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083258362 PECOS PAC ID: 7810307998 Enrollment ID: O20201030000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellie Hee Young Park, 16450 Veterans Way Unit 203, Tustin, CA 92782-2843 Ph: (917) 532-0537 | Ellie Hee Young Park, 16450 Veterans Way Unit 203, Tustin, CA 92782-2843 Ph: (917) 532-0537 |
Geraldine E Danao, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15561 Jasmine Pl, Tustin, CA 92782 Phone: 949-637-4335 |
Mrs. Madolor King, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 18002 Irvine Blvd Ste 208, Tustin, CA 92780 Phone: 626-589-1349 |
Taylor Rose Armour, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 17662 Irvine Blvd, Tustin, CA 92780 Phone: 760-699-2832 |
Elizabeth Trujillo, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598 |
Yvonne M Medeiros, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 15504 Williams St Apt K, Tustin, CA 92780 Phone: 808-647-6689 |
Ms. Rita Jean Patterson, RN CNOR CRNFA(E) Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1922 Irvine Blvd, Tustin, CA 92780 Phone: 714-508-2104 Fax: 714-508-0425 |
Brandon Ponce Carrillo, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14662 Newport Ave, Tustin, CA 92780 Phone: 714-619-7700 |