Ro Jong Park, MD | |
7825 Engineer Rd, #101, San Diego, CA 92111-1929 | |
(858) 277-7111 | |
(858) 277-7667 |
Full Name | Ro Jong Park |
---|---|
Gender | Male |
Speciality | General Practice |
Experience | 61 Years |
Location | 7825 Engineer Rd, San Diego, 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 |
---|---|---|---|
1699799593 | NPI | - | NPPES |
104171946 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 32106 (Michigan) | Secondary |
208600000X | Surgery | C51913 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Woori Medical Group, Professional Corp | 5799831848 | 3 |
Entity Name | Woori Medical Group, Professional Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275764706 PECOS PAC ID: 5799831848 Enrollment ID: O20090915000668 |
Mailing Address | Practice Location Address |
---|---|
Ro Jong Park, MD 7825 Engineer Rd, #101, San Diego, CA 92111-1929 Ph: (858) 277-7111 | Ro Jong Park, MD 7825 Engineer Rd, #101, San Diego, CA 92111-1929 Ph: (858) 277-7111 |
Dr. Samuel R Obiekwe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 113 W G St # 315, San Diego, CA 92101 Phone: 909-816-1032 | |
Dr. Ahmed Sirageldin Suliman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr # 8890, San Diego, CA 92103 Phone: 619-294-3746 | |
Mathias John Kill, MD Surgery Medicare: Medicare Enrolled Practice Location: 34730 Bob Wilson Dr, General Surgery Department, San Diego, CA 92134 Phone: 619-532-7575 Fax: 619-532-7673 | |
Scott E. Greenway, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000 | |
Dr. Kristian L. Brown, M.D., PHD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, Suite 250, San Diego, CA 92123 Phone: 858-637-4800 Fax: 858-637-4801 | |
Dr. Robert J Manly, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 8010 Frost St, San Diego, CA 92123 Phone: 858-939-8350 Fax: 858-939-8360 | |
Dr. Michael Bouvet, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, Ucsd Medical Center, San Diego, CA 92103 Phone: 858-822-6191 Fax: 858-822-6192 |