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

Johann Christian Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1043047160

Johann Christian Park is a Student in an Organized Health Care Education/Training Program in West Hollywood, California. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

West Hollywood, CA

Additional practice locations (1)

  • 9700 W Taron Dr, Elk Grove, CA 95757-8145 — (916) 686-7300

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1043047160
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESMarch 31, 2025
Certification dateMarch 31, 2025

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