MEDICARE: DR. YONG J PARK O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	12228T	CA

General Provider Information

NPI Number	:	1205984317
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YONG J PARK O.D.

Provider Business Mailing Address
First Line	:	2609 FOOTHILL BLVD
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-3511
Country	:	US
Telephone Number	:	818-541-0370
Fax Number	:	818-541-0376

Provider Business Practice Location Address
First Line	:	2609 FOOTHILL BLVD
Second Line	:
City	:	LA CRESCENTA
State	:	CA
Zip	:	91214-3511
Country	:	US
Telephone Number	:	818-541-0370
Fax Number	:	818-541-0376

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	01/28/2016

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1114036589 — THRIFTY PAYLESS INC
Practice Location Address:

2647 WEST FOOTHILL BOULEVARD , CRESCENTA SHOPPING CENTER
LA CRESCENTA, CA
91214-3511

Practice Phone: 818-248-1016
Practice Fax:

1447487798 — CAROLINE HU D.M.D
Practice Location Address:

2629 FOOTHILL BLVD , #381
LA CRESCENTA, CA
91214-3511

Practice Phone: 954-547-1858
Practice Fax:

1396066437 — MERCEDEH KALANTARI-NAZARI
Practice Location Address:

2647 FOOTHILL BLVD
LA CRESCENTA, CA
91214-3511

Practice Phone: 818-248-1016
Practice Fax: 818-248-0023

1164743266 — BOLIS BATOU RPH
Practice Location Address:

2647 FOOTHILL BLVD
LA CRESCENTA, CA
91214-3511

Practice Phone: 818-248-1016
Practice Fax: 818-248-0023

1902165202 — DR. MIYOUNG YOON DDS
Practice Location Address:

2607 FOOTHILL BLVD
LA CRESCENTA, CA
91214-3511

Practice Phone: 818-688-7646
Practice Fax:

Directions to “ DR. YONG J PARK O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.