Stephen Joon Park is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Stephen Joon Park NPI is 1700346996. 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:
1200 N STATE ST
CLINIC TOWER, SUITE A7D
LOS ANGELES, CA
ZIP 90089-001
Phone: (323) 442-9064
The NPI 1700346996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/22/2019 and was last updated on 9/21/2022.