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Joong Young Park M.D. Inc.

NPI 1104014034ActiveOrganization· General Practice· Garden Grove, CA

General Practice in Garden Grove, California, registered in NPPES in October 2007. The authorized official on file is Joong Young Park, M.D., President.

Overview

NPI1104014034
StatusActive
Entity typeOrganization
NPI issuedOct 4, 2007
Last updated in NPPESSep 16, 2009

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000XA39059CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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