JOONG Y PARK MD NPI 1003839002

NPI Information

Joong Y Park, MD is a general practice in Los Angeles, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Joong Y Park, MD NPI is 1003839002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3511 W OLYMPIC BL
#101
LOS ANGELES, CA
ZIP 90019
Phone: (323) 766-1057
Fax: (323) 766-8790

The enumeration date for this NPI number is 7/25/2006 and was last updated on 12/6/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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