Dr. Jason Hyuk Park
Physical Therapist Physical Therapist - Sports
4482 Barranca Pkwy Suite 195
Irvine
, California 92604-7701
Dr. Jason Hyuk Park
Physical Therapist Physical Therapist - Sports
4482 Barranca Pkwy Suite 195
Irvine
, California 92604-7701
(949) 679-3336
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Jason Hyuk Park
- 4482 Barranca Pkwy Suite 195
- Irvine, CA
- Zip : 92604-7701
- Fax : (949) 679-3336
- Phone : (949) 679-3337
Second Address
- Dr. Jason Hyuk Park
- 4482 Barranca Pkwy Suite 195
- Irvine, CA
- Zip : 92604-7701
- Fax : (949) 679-3336
- Phone : (949) 679-3337
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT24454 | CA |
| N | 2251S0007X | Physical Therapist - Sports | PT24454 | CA |
National Provider Identifier
| NPI | 1053370239 |
|---|---|
| Provider Name | Dr. Jason Hyuk Park |
| First Address | Irvine, CA 92604-7701 |
| Second Address | Irvine, CA 92604-7701 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 05/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0PT244540 | BLUE SHIELD PIN (01) | CA |
| AR052 | MEDICARE GROUP PTAN (01) | CA |
| PT24454 | PHYSICAL THERAPY BOARD OF CALIFORNIA (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.