Taikeun Park, MD | |
251 Landis Avenue, Chula Vista, CA 91910-9578 | |
(619) 515-2500 | |
(619) 934-9578 |
Full Name | Taikeun Park |
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Gender | Male |
Speciality | Internal Medicine |
Location | 251 Landis Avenue, Chula Vista, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831175918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | C51444 (California) | Secondary |
207R00000X | Internal Medicine | C51444 (California) | Primary |
Entity Name | Family Health Centers Of San Diego, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
Mailing Address | Practice Location Address |
---|---|
Taikeun Park, MD 13788 Torrey Del Mar Dr, San Diego, CA 92130-5629 Ph: (858) 997-5927 | Taikeun Park, MD 251 Landis Avenue, Chula Vista, CA 91910-9578 Ph: (619) 515-2500 |
Dr. Perry V Montoya, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 525 3rd Ave, Chula Vista, CA 91910 Phone: 858-499-2600 Fax: 619-585-4353 | |
John S Videen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 752 Medical Center Ct, Suite 302, Chula Vista, CA 91911 Phone: 619-421-3361 Fax: 619-656-8936 | |
Daniel Cepin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 Eastlake Pkwy, Suite 205, Chula Vista, CA 91914 Phone: 619-482-0300 Fax: 619-482-0959 | |
Kenneth Burton Johnson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 769 Medical Center Ct, Suite 202, Chula Vista, CA 91911 Phone: 619-482-8430 Fax: 619-482-8005 | |
Dr. Michael Sonbaty, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1400 E Palomar St, Chula Vista, CA 91913 Phone: 858-499-2616 | |
Sara Khandan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 835 Third Ave Ste A, Chula Vista, CA 91911 Phone: 619-425-7755 Fax: 619-425-2138 | |
Alejandro G Hinojosa-valencia, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 629 Third Ave Ste A, Chula Vista, CA 91910 Phone: 619-422-6158 Fax: 619-422-2019 |