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

Dr. Young Ja Park

Individual provider Military Health Care Provider · NPI 1720077217

Dr. Young Ja Park is a Military Health Care Provider in APO, Armed Forces Pacific. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

18TH Medcom Atts: Dccs-Qm (credentials)
APO, AP 96205-0054
Phone: (011) 822-7916
Fax: 01182279178110

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X · Licence 133910-1 (NY)

Record details

NPI number1720077217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2005
Last updated in NPPESJuly 13, 2026
Mailing address18th Medcom, Attn: Dccs-Qm (Credentials), Apo, AP 96295-0054

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