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Organization
JOONG YOUNG PARK M.D. INC.
Active
Organization
JOONG YOUNG PARK M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONG YOUNG PARK M.D. (PRESIDENT)
(714) 534-1112
Entity
Organization
Contact information
Practice address
9535 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1551
(714) 534-1112
(714) 534-1116
Mailing address
9535 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1551
(714) 534-1112
(714) 534-1116
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A39059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A390590
—
CA
Enumeration date
10/04/2007
Last updated
09/16/2009
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