{"npi":"1366633257","type":"NPI-2","status":"active","name":{"display":"Jaesoo Pak, MD","other":[],"organization_name":"JAESOO PAK, MD","authorised_official":"Jaesoo Pak"},"specialty":{"primary_taxonomy":"261QE0800X","primary_taxonomy_description":"Endoscopy Clinic/Center","slug":"endoscopy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":false,"state":null,"license":null},{"code":"261QE0800X","description":"Endoscopy Clinic/Center","primary":true,"state":"CA","license":"05-C0001451"}]},"addresses":[{"purpose":"LOCATION","street_1":"11845 SOUTH ST","city":"CERRITOS","state":"CA","postal_code":"907036825","country_code":"US","phone":"5628092103"},{"purpose":"MAILING","street_1":"11845 SOUTH ST","city":"CERRITOS","state":"CA","postal_code":"907036825","country_code":"US","phone":"5628092103"}],"license":{"state":"CA","number":"05-C0001451"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120612000111","type_code":"12-49","type_desc":"PART B SUPPLIER - AMBULATORY SURGICAL CENTER","state":"CA","pac_id":"7719141316"}]},"enumeration_date":"2007-08-06","last_updated":"2008-06-19","_meta":{"source":"NPPES","snapshot_date":"2008-06-19","doc_url":"https://findmynpi.com/api"}}