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Dr. Susan Jin-Sun Park

Family Doctor Family Doctor - Sports Medicine

661 Sierra Rose Dr
Reno , Nevada 89511

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Dr. Susan Jin-Sun Park

Family Doctor Family Doctor - Sports Medicine

661 Sierra Rose Dr
Reno , Nevada 89511

(775) 982-3900

Write a Review Save Call

Dr. Susan Jin-Sun Park

Family Doctor Family Doctor - Sports Medicine

661 Sierra Rose Dr
Reno , Nevada 89511

(775) 982-3900 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Sports Medicine

Languages spoken

  • English

Location

661 Sierra Rose Dr Reno , Nevada 89511

First Address

  • Dr. Susan Jin-Sun Park
  • 1155 Mill St # Mcm14
  • Reno, NV
  • Zip : 89502-1576
  • Fax : (775) 982-3900
  • Phone : (775) 982-5262

Second Address

  • Dr. Susan Jin-Sun Park
  • 661 Sierra Rose Dr
  • Reno, NV
  • Zip : 89511
  • Fax : (775) 982-8251
  • Phone : (775) 982-8255

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FAQs


Where did Dr. Susan Jin-Sun Park attend graduate school?

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Where did Dr. Susan Jin-Sun Park do her residency?

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Where did Dr. Susan Jin-Sun Park do her fellowship?

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Is Dr. Susan Jin-Sun Park board certified?

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What type of doctor is Dr. Susan Jin-Sun Park

Family Doctor

In what state does Dr. Susan Jin-Sun Park practice in?

Nevada

Where is Dr. Susan Jin-Sun Park ’s practice located?

661 Sierra Rose Dr , Reno, Nevada, 89511

What is Dr. Susan Jin-Sun Park ’s gender?

Female

Is Dr. Susan Jin-Sun Park a sole practitioner?

No

Is Dr. Susan Jin-Sun Park accepting new patients?

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What languages does Dr. Susan Jin-Sun Park speak?

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Does Dr. Susan Jin-Sun Park accept insurance?

Yes, Dr. Susan Jin-Sun Park accepts insurance

Does Dr. Susan Jin-Sun Park offers telemedicine?

Dr. Susan Jin-Sun Park has not indicated if she offers telemedicine

What is Dr. Susan Jin-Sun Park ’s professional license number?

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What is Dr. Susan Jin-Sun Park ’s NPI number?

1003070640

Does Dr. Susan Jin-Sun Park have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207Q00000X Family Doctor 13322 NV
N 207QS0010X Family Doctor - Sports Medicine 13322 NV
N 207QS0010X Family Doctor - Sports Medicine A98140 CA

National Provider Identifier

NPI 1003070640
Provider Name Dr. Susan Jin-Sun Park
First Address Reno, NV 89502-1576
Second Address Reno, NV 89511
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 14/07/2008
Last Update Date 21/06/2021

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
12139950 CAQH (01)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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