Organization
SUNG-UN JUSTIN PARK M.D., INC.
Active
Organization
SUNG-UN JUSTIN PARK M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE PARK (OFFICE MANAGER)
(714) 484-8054
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE STE 101, ANAHEIM, CA 92804-3152
(714) 484-8054
(714) 484-8072
Mailing address
3055 W ORANGE AVE STE 101, ANAHEIM, CA 92804-3152
(714) 484-8054
(714) 484-8072
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A48704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487041
—
CA
01
—
A48704
LICENSE NUMBER
CA
Enumeration date
10/03/2007
Last updated
05/23/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up