Individual
MR. JAMES JONGTAK PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
17822 BEACH BLVD, SUITE 419, HUNTINGTON BEACH, CA 92647-7101
(714) 841-9922
(714) 841-3292
Mailing address
11 FLORA SPGS, IRVINE, CA 92602-2412
(714) 847-7392
(714) 847-7396
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A7365
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00AX73650
MEDI-CAL
CA
01
—
ZZZ04904Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/11/2006
Last updated
07/26/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us