Jung Woo Park, | |
1045 N Lake Ave, Pasadena, CA 91104-4521 | |
(626) 798-0706 | |
Not Available |
Full Name | Jung Woo Park |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1045 N Lake Ave, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144686577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 835101 (California) | Secondary |
363LF0000X | Nurse Practitioner - Family | 95003723 (California) | Primary |
Entity Name | Korean Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437 |
Mailing Address | Practice Location Address |
---|---|
Jung Woo Park, 3101 E Artesia Blvd Apt 219, Long Beach, CA 90805-2737 Ph: (858) 740-4142 | Jung Woo Park, 1045 N Lake Ave, Pasadena, CA 91104-4521 Ph: (626) 798-0706 |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3002 Margaret Dr, Pasadena, CA 91107 Phone: 818-383-5339 | |
Mrs. Jessica Alexandra Monzon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Planned Parenthood, 1045 N Lake Ave, Pasadena, CA 91104 Phone: 626-798-0706 | |
Nwamaka Nwosu, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 117 E Colorado Blvd Ste 600, Pasadena, CA 91105 Phone: 844-735-1418 | |
Charlene Reed Frando, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2750 E Washington Blvd Ste 230, Pasadena, CA 91107 Phone: 626-296-8900 | |
Gina Joanne Digiovanni, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 S. Hudson, Suite Number 130, Pasadena, CA 91109 Phone: 626-795-6981 Fax: 626-578-1204 | |
Mrs. Margaret Lester, RNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 39 Congress St, Suite 301, Pasadena, CA 91105 Phone: 626-486-0181 | |
Ms. Deanna Lyn Sanchez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 S Michillinda Ave, Pasadena, CA 91107 Phone: 626-405-8033 |