| Mr Sung Jin Park, PA-C | |
|
1000 Fairview Rd, Hollister, CA 95023-9644 | |
| (714) 545-5550 | |
| (949) 609-0374 |
| Full Name | Mr Sung Jin Park |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 4 Years |
| Location | 1000 Fairview Rd, Hollister, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093457194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 60815 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Flatow Medical Corporation Apc | 6507273059 | 16 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Sung Jin Park, PA-C 2160 Barranca Pkwy # 1018, Irvine, CA 92606-4940 Ph: (949) 939-6780 | Mr Sung Jin Park, PA-C 1000 Fairview Rd, Hollister, CA 95023-9644 Ph: (714) 545-5550 |
Jaidesh Reddick, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 551 Mccray St, Hollister, CA 95023 Phone: 831-634-4444 Fax: 831-634-4440 | |
Mr. Ray S. Kusumoto, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 591 Mccray St Ste 231, Hollister, CA 95023 Phone: 831-636-3116 Fax: 831-636-1204 | |
Thomas H Zdimal, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2640 | |
Susana Frasher, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2640 | |
Nicole Ann Shelton, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 930 Sunnyslope Rd Ste E3, Hollister, CA 95023 Phone: 831-630-1477 | |
Lori A Kraus, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 911 Sunset Dr, Hollister, CA 95023 Phone: 831-636-2664 Fax: 831-636-2641 |