National Provider Identifier Database

SUNYOUNG PARK, LAC. – NPI #1114080801
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

SUNYOUNG PARK, LAC.
10801 FOOTHILL BLVD. # 104
RANCHO CUCAMONGA, CA91730
Phone: 909-989-4435
Fax: 909-989-4461
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for SUNYOUNG PARK

NPI Number 1114080801
Credentials LAC.
Entity Individual
Enumeration date 12/18/2006
Last updated 01/11/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: 11452
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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