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

Junghoon Park, NP

Individual provider Family Nurse Practitioner · NPI 1093111627

Junghoon Park, NP is a Nurse Practitioner in Los Angeles, California. Qualified in 2014, 12 years ago. Practices with Peninsula Urgent Care LLC, a 4-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
12
Licensed in
CA, NY
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3663 W 6th St Ste 103
Los Angeles, CA 90020-3047
Phone: (213) 388-5144
Fax: (213) 388-5154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339257-1 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95011804 (CA)

Record details

NPI number1093111627
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 10, 2014
Last updated in NPPESMarch 7, 2024
Certification dateJune 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Peninsula Urgent Care Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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