| Doctor Name: | JI HYE PARK |
| NPI Number: | 1063477016 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 15502 |
| Business Practice Address: | 5629 Canyon View Dr Ste. B Paradise, CA - 959695502 |
| Business Phone Number: | 5308763141 |
| Business Fax Number: | |
| Mailing Address: | 100 Sterling Oaks Dr., #131 CHICO |
| State: | CA |
| Postal Code: | 95928 |
| Phone Number: | 3235801382 |
| Fax Number: | |
| NPI Enumeration Date: | 04/20/2006 |
| NPI Last Update Date: | 12/06/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 15502 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |