Jun Park
Endocrinologist (Diabetes Doctor)
4150 V Street, Pssb, Suite G400
Sacramento
, California 95817
Jun Park
Endocrinologist (Diabetes Doctor)
4150 V Street, Pssb, Suite G400
Sacramento
, California 95817
(317) 733-7539
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Jun Park
- 8414 Naab Rd
- Indianapolis, IN
- Zip : 46260-1972
- Fax : (317) 733-7539
- Phone : (317) 338-7510
Second Address
- Jun Park
- 4150 V Street, Pssb, Suite G400
- Sacramento, CA
- Zip : 95817
- Fax : (651) 333-4227
- Phone : (916) 734-8328
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FAQs
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Is Jun Park a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A169512 | CA |
National Provider Identifier
| NPI | 1043744279 |
|---|---|
| Provider Name | Jun Park |
| First Address | Indianapolis, IN 46260-1972 |
| Second Address | Sacramento, CA 95817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2017 |
| Last Update Date | 28/09/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A169512 | CALIFORNIA STATE MEDICAL LICENSE NUMBER (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.