Sunyoung Park, LAC is a medicare enrolled "Physician Assistant" provider in Rancho Cucamonga, California. Her current practice location is
10801 Foothill Blvd. # 104, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at
(909) 989-4435.
Sunyoung Park is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114080801.
Healthcare Provider's Profile
Full Name | Sunyoung Park |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 10801 Foothill Blvd. # 104, Rancho Cucamonga, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114080801
- Provider Enumeration Date: 12/18/2006
- Last Update Date: 01/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608275789
- Enrollment ID: I20210521000618
Medical Identifiers
Medical identifiers for Sunyoung Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114080801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 11452 (California) | Secondary |
363A00000X | Physician Assistant | (* (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. Sunyoung 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 |
Sunyoung Park, LAC 10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730 Ph: (909) 989-4435 | Sunyoung Park, LAC 10801 Foothill Blvd. # 104, Rancho Cucamonga, CA 91730 Ph: (909) 989-4435 |
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