Individual provider · Type 1 NPI

Jee Woo Park

Student in an Organized Health Care Education/Training Program · Bakersfield, CA

NPI number 1275475014 Active

Practice location

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018

Fax (661) 326-2950

Mailing address

16842 N 40th Ave
Phoenix, AZ 85053-2702

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1275475014

Jee Woo Park's National Provider Identifier is 1275475014, issued on Apr 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bakersfield, CA. The record was last updated on Apr 9, 2026.