Dr Jinha Mark Park, MD, PHD | |
100 W California Blvd, Pasadena, CA 91105-3010 | |
(626) 397-5139 | |
Not Available |
Full Name | Dr Jinha Mark Park |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 23 Years |
Location | 100 W California Blvd, Pasadena, 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 |
---|---|---|---|
1811036619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A80100 (California) | Primary |
2085B0100X | Radiology - Body Imaging | A80100 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Huntington Memorial Hospital | Pasadena, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiant Imaging, Inc. | 7113145558 | 56 |
State University Of Iowa | 7618884230 | 1549 |
State University Of Iowa | 7618884230 | 1549 |
State University Of Iowa | 7618884230 | 1549 |
Entity Name | Regents Of The Univ Of Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013906973 PECOS PAC ID: 3375456619 Enrollment ID: O20031111000892 |
Entity Name | Radiant Imaging, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437583200 PECOS PAC ID: 7113145558 Enrollment ID: O20140827001815 |
Entity Name | Geisinger Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558313023 PECOS PAC ID: 5395657001 Enrollment ID: O20160512002382 |
Entity Name | Geisinger-hm Joint Venture Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952076119 PECOS PAC ID: 1355676370 Enrollment ID: O20200226002127 |
Entity Name | Southern Monterey County Memorial Hospital |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20200521000977 |
Entity Name | Sonoran Radiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033745708 PECOS PAC ID: 3375964505 Enrollment ID: O20200701001467 |
Entity Name | State University Of Iowa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20201020000616 |
Entity Name | Mary Imogene Bassett Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20210216002332 |
Entity Name | Radiologists Associated In Duluth Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598722688 PECOS PAC ID: 4284547209 Enrollment ID: O20211019002172 |
Mailing Address | Practice Location Address |
---|---|
Dr Jinha Mark Park, MD, PHD 223 N 1st Ave, Arcadia, CA 91006-7027 Ph: (626) 821-1411 | Dr Jinha Mark Park, MD, PHD 100 W California Blvd, Pasadena, CA 91105-3010 Ph: (626) 397-5139 |
Dr. Richard A. Reed, MEDICAL DOCTOR Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5139 Fax: 626-447-1058 | |
Dr. Luis Balmore Gutierrez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5139 Fax: 626-397-2190 | |
Dr. John B Holden, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-2139 | |
Dr. Ramona Kyaw, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 625 S Fair Oaks Ave Ste 100, Pasadena, CA 91105 Phone: 626-397-5149 | |
Claire Anne Lis, MD Radiology Medicare: Medicare Enrolled Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-394-9218 | |
Dr. Warren Wai Lam, MEDICAL DOCTOR Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Pasadena, CA 91105 Phone: 626-397-5139 Fax: 626-447-1058 | |
Dr. Pia Lindstrom Luedtke, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 100 W California Blvd, Huntington Memorial Hospital, Pasadena, CA 91105 Phone: 626-397-5139 |