Jeong Ho Park
NPI 1114654829 · Physical Therapist · San Leandro, CA
Jeong Ho Park is a Physical Therapist provider in San Leandro, CA (NPI 1114654829).
Provider details
- NPI number
- 1114654829
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 303035 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-08-03
- Last updated
- 2023-12-07
- Certified
- 2023-12-06
Frequently asked questions
- What is Jeong Ho Park's NPI number?
- Jeong Ho Park's National Provider Identifier (NPI) is 1114654829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeong Ho Park's specialty?
- Jeong Ho Park is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jeong Ho Park located?
- Jeong Ho Park's practice location on file with NPPES is 1652 Mono Ave, San Leandro, CA 94578-2020.
- What is Jeong Ho Park's phone number?
- The practice phone number listed in the NPPES registry for Jeong Ho Park is (510) 481-3200.
- Is Jeong Ho Park's NPI active?
- Yes — Jeong Ho Park's NPI (1114654829) is active in the NPPES registry as of the last update on 2023-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.