Dr. Jeanny Kim Park
Pediatric Cardiologist
2516 Stockton Blvd
Sacramento
, California 95817-2208
Dr. Jeanny Kim Park
Pediatric Cardiologist
2516 Stockton Blvd
Sacramento
, California 95817-2208
(916) 734-0424
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Jeanny Kim Park
- 2516 Stockton Blvd
- Sacramento, CA
- Zip : 95817-2208
- Fax : (916) 734-0424
- Phone : (916) 734-3589
Second Address
- Dr. Jeanny Kim Park
- 2516 Stockton Blvd
- Sacramento, CA
- Zip : 95817-2208
- Fax : (916) 734-0424
- Phone : (916) 734-3589
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | G68672 | CA |
National Provider Identifier
| NPI | 1023090206 |
|---|---|
| Provider Name | Dr. Jeanny Kim Park |
| First Address | Sacramento, CA 95817-2208 |
| Second Address | Sacramento, CA 95817-2208 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2005 |
| Last Update Date | 25/10/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F33270 | (02) | 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.