Hye Won Park, is a
Student In An Organized Health Care Education/training Program based in Lake Forest, California. Hye Won Park is licensed to practice in * (Not Available) (license number ) and her current practice location is
30 Sorrel, Lake Forest, California. She can be reached at her office (for appointments etc.) via phone at
(714) 788-1290.
NPI number for Hye Won Park is 1134912355 and her current mailing address is 30 Sorrel, Lake Forest, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134912355.
Provider's Profile
| Full Name | Hye Won Park |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 30 Sorrel, Lake Forest, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1134912355
- Provider Enumeration Date: 05/28/2025
- Last Update Date: 05/28/2025
Medical Identifiers
Medical identifiers for Hye Won Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134912355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Hye Won 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 |
|---|
Hye Won Park,
30 Sorrel,
Lake Forest, CA 92630-1447
Ph: (714) 788-1290 | Hye Won Park,
30 Sorrel,
Lake Forest, CA 92630-1447
Ph: (714) 788-1290 |
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