DR. JONGSOOK SUSIE PARK MD NPI 1821052630

NPI Information

DR. Jongsook Susie Park, MD is a gynecology obstetrics gynecology in Garden Grove, CA. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Jongsook Susie Park, MD NPI is 1821052630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12665 GARDEN GROVE BLVD #505
GARDEN GROVE, CA
ZIP 92843
Phone: (714) 534-2110
Fax: (714) 534-1155

The enumeration date for this NPI number is 4/17/2006 and was last updated on 7/8/2007.

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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