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

Young Jun Park

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912792649

Young Jun Park is a Student in an Organized Health Care Education/Training Program in Beavercreek, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3640 Colonel Glenn Hwy
Beavercreek, OH 45324-2029
Phone: (937) 775-2934
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1912792649
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2025
Last updated in NPPESApril 12, 2025
Certification dateApril 12, 2025
Mailing address3640 Colonel Glenn Hwy, Beavercreek, OH 45324-2029

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