Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jean Park, MDMPH

Individual provider Obstetrics & Gynecology Physician · NPI 1205098183

Dr. Jean Park, MDMPH is an Obstetrics/Gynecology in Fontana, California. Qualified in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Indiana.

Years since qualifying
22
Licensed in
CA, IN
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

9985 Sierra Ave
Fontana, CA 92335-6720
Phone: (909) 427-5629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A117145 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 11014577A (IN)

Record details

NPI number1205098183
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDMPH
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESDecember 6, 2021
Mailing address9985 Sierra Ave, Fontana, CA 92335-6720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fontana