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

Joanne Hyewon Park

Individual provider Physician Assistant · NPI 1912684440

Joanne Hyewon Park is a Physician Assistant in Fullerton, California. Qualified in 2024, 2 years ago. Practices with Achieve Brain and Spine Inc, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone: (714) 992-7808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1912684440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2023
Last updated in NPPESDecember 18, 2024
Certification dateDecember 18, 2024
Mailing address2575 Yorba Linda Blvd, Fullerton, CA 92831-1615

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Achieve Brain And Spine Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fullerton