Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOO JUNG PARK, PA-C
Active Sole ProprietorSOO JUNG PARK, PA-C is a Physician Assistant healthcare provider located in DULLES, Virginia. NPI 1225836844 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DULLES, VA
Registration Details
- NPI Number
- 1225836844
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2025 (1.4148119341453 yrs)
- Last Updated
- Aug 29, 2025
- License
-
0110010844 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
24430 STONE SPRINGS BLVD SUITE 275DULLES, VA, 201662270Browse VA providers · Browse ZIP 20166
- Phone
- 7038583220
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in DULLES, VA
| Name | Credential | NPI |
|---|---|---|
| ALYSSA B LAESER | PA | 1982640405 |
| SHANE C PIERCE | PA-C | 1659456556 |
| MS. CATHALENE BLAKE CHRISTIAN | PA-C | 1114137197 |
| SUSAN TANG | PHYSICIAN ASSISTANT | 1700026960 |
| AMY BECKWITH REMBOLD | PA-C | 1902137193 |
| JASON DAVID EDGINTON | — | 1417363532 |
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.