Provider Demographics
NPI:1649444829
Name:PARK, HY GIA YOUNG (MPH, MS, MD)
Entity type:Individual
Prefix:
First Name:HY GIA
Middle Name:YOUNG
Last Name:PARK
Suffix:
Gender:F
Credentials:MPH, MS, MD
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Other - First Name:
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Mailing Address - Street 1:10099 RIDGEGATE PKWY STE 420
Mailing Address - Street 2:
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5536
Mailing Address - Country:US
Mailing Address - Phone:720-209-8537
Mailing Address - Fax:303-756-1920
Practice Address - Street 1:10099 RIDGEGATE PKWY STE 420
Practice Address - Street 2:
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5536
Practice Address - Country:US
Practice Address - Phone:720-209-8537
Practice Address - Fax:303-756-1920
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-17
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COCDRH497102084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry