Individual provider · Type 1 NPI

Jonathan Park

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

NPI number 1407728892 Active

Practice location

27431 San Bernardino Ave Apt 281
Redlands, CA 92374-5087

Call (510) 755-8510 Map

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 1407728892

Jonathan Park's National Provider Identifier is 1407728892, issued on Sep 23, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Redlands, CA. The record was last updated on Sep 23, 2025.