John Bansuk Park, PHARM.D.

Pharmacist · Cerritos, CA

Individual Active NPI

NPI number 1619258100

Practice location

20200 Bloomfield Ave
Cerritos, CA 90703-7821
Phone
(562) 274-0062

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NPI record

NPI
1619258100
Entity type
Individual (Type 1)
Enumeration date
August 29, 2011
Last updated
August 29, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 65907 CA

Mailing address

2205 W Broadway
Apt a219
Anaheim, CA 92804-2385
Phone
(858) 344-4142

About Dr. Park

John Bansuk Park, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 20200 Bloomfield Ave, Cerritos, CA 90703-7821. The NPI number 1619258100 was assigned on August 29, 2011 and the record was last updated on August 29, 2011.

Dr. Park lists a license in the registry: #65907 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John Bansuk Park, PHARM.D.?

The NPI number is 1619258100.

What is the phone number of Dr. Park?

The phone number listed for the practice location is (562) 274-0062.

Where is Dr. Park located?

20200 Bloomfield Ave, Cerritos, CA 90703-7821.

What is the taxonomy code for Dr. Park?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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