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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GRACE JIYOUNG PARK, D.O. , MPH

Active

DR. GRACE JIYOUNG PARK, D.O. , MPH is a Family Medicine healthcare provider located in GARDENA, California. NPI 1164677464 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GARDENA, CA

Registration Details

NPI Number
1164677464
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2008 (17.687041413405 yrs)
Last Updated
Dec 6, 2021
License
20A10562 (CA)

Practice Information

Address
15446 S WESTERN AVE
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
GARDENA, CA, 902494319
Browse CA providers · Browse ZIP 90249
Phone
3109654821
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GARDENA, CA

Name Credential NPI
ENRIQUE RAMOS M.D. 1477545531
DR. EMELOU SAGARAL MD 1205812500
DR. SYLVIA OSORIO M.D. 1932159225
DR. MANOUTCHER KHALILI MD 1861446841
PATRICK J LEMM D.O. 1710920756
DR. YOUNG CHOI M.D. 1447278031
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.