Individual provider · Type 1 NPI

Young Ja Park

Military Health Care Provider · Apo, KR

NPI number 1720077217 Active

Practice location

18th Medcom, Atts: Dccs-Qm (credentials)
Apo, KR 96205-0054

Call (011) 822-7916 Map

Fax

Mailing address

18th Medcom, Attn: Dccs-Qm (credentials)
Apo, AP 96295-0054

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X133910-1 (NY)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

23 other providers at this address

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About NPI 1720077217

Young Ja Park's National Provider Identifier is 1720077217, issued on Oct 18, 2005. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Apo, KR. The record was last updated on Jul 13, 2026.