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

Nathaniel Jeong Su Park

Individual provider Pharmacist · NPI 1194298257

Nathaniel Jeong Su Park is a Pharmacist in Bakersfield, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
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Practice location Address checks out

100 China Grade Loop
Bakersfield, CA 93308-1739
Phone: (661) 393-3358
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH80055 (CA)

Record details

NPI number1194298257
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 10, 2019
Last updated in NPPESJanuary 10, 2019

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