WOORI MEDICAL GROUP PROFESSIONAL CORP NPI 1275764706

NPI Information

WOORI MEDICAL GROUP PROFESSIONAL CORP is a general practice in San Diego, 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 WOORI MEDICAL GROUP PROFESSIONAL CORP NPI is 1275764706. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7825 ENGINEER RD
STE 101
SAN DIEGO, CA
ZIP 92111-924
Phone: (858) 277-7111
Fax: (858) 277-7667

The provider's authorized official is Ro Jong Park .
The authorized official title is President and has the following contact phone number (858) 277-7111.

The CLIA number assigned to this NPI record is 05D1077007 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2009 and was last updated on 3/20/2015.

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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