Dr Jung Won Park, MD | |
7215 55th St, Sacramento, CA 95823-2601 | |
(916) 399-1100 | |
(877) 860-2397 |
Full Name | Dr Jung Won Park |
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Gender | Male |
Speciality | Pediatrics |
Location | 7215 55th St, Sacramento, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184756082 | NPI | - | NPPES |
118238804 | Medicaid | TX | |
89C759 | Other | TX | BCBS |
P01758328-DV5277 | Other | CA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G9781 (Texas) | Secondary |
208000000X | Pediatrics | C56214 (California) | Primary |
Entity Name | Community Medical Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588729180 PECOS PAC ID: 8426968520 Enrollment ID: O20101027000870 |
Mailing Address | Practice Location Address |
---|---|
Dr Jung Won Park, MD 200 Oceangate, Suite 100, Long Beach, CA 90802-4317 Ph: (562) 499-6191 | Dr Jung Won Park, MD 7215 55th St, Sacramento, CA 95823-2601 Ph: (916) 399-1100 |
Lena Claire Van Der List, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-2428 | |
Dr. Mary Beth J Steinfeld, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2825 50th St, Uc Davis Department Of Pediatrics, Sacramento, CA 95817 Phone: 916-703-0271 Fax: 916-703-0243 | |
Lindalee G Huston, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5301 F St, #220, Sacramento, CA 95819 Phone: 916-455-8000 Fax: 916-733-6088 | |
Alison My Lam, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3665 | |
Marcela Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-5000 | |
Donald Morley Null, Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd, Nicu, Sacramento, CA 95817 Phone: 916-703-3050 Fax: 916-703-3055 | |
Dr. Elizabeth Partridge, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2516 Stockton Blvd, Sacramento, CA 95817 Phone: 510-428-4337 |