Ji Ah Park, is a medicare enrolled "Family Medicine" in Long Beach, California. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Prohealth Partners, A Medical Group and her current practice location is
3325 Palo Verde Ave Ste 105, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at
(562) 434-7777.
Ji Ah Park is licensed to practice in California (license number PA58548) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336703941.
Provider's Profile
| Full Name | Ji Ah Park |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 3325 Palo Verde Ave Ste 105, Long Beach, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ji Ah Park graduated from nursing school in 2020
NPI Data:
- NPI Number: 1336703941
- Provider Enumeration Date: 04/29/2019
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648672907
- Enrollment ID: I20210708002011
Medical Identifiers
Medical identifiers for Ji Ah Park such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336703941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | PA58548 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prohealth Partners, A Medical Group | 2769388412 | 237 |
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. Ji Ah Park is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ji Ah Park,
3325 Palo Verde Ave Ste 105,
Long Beach, CA 90808-4132
Ph: () - | Ji Ah Park,
3325 Palo Verde Ave Ste 105,
Long Beach, CA 90808-4132
Ph: (562) 434-7777 |
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