JOONG YOUNG PARK M.D. INC. NPI 1104014034

NPI Information

JOONG YOUNG PARK M.D. INC. is a general practice in Garden Grove, 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 YOUNG PARK M.D. INC. NPI is 1104014034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9535 GARDEN GROVE BLVD STE 104
GARDEN GROVE, CA
ZIP 92844-551
Phone: (714) 534-1112
Fax: (714) 534-1116

The provider's authorized official is Joong Young Park .
The authorized official title is President and has the following contact phone number (714) 534-1112.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 9/16/2009.

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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