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Organization
INNOVA MEDICAL NETWORK INC
Active
Organization
INNOVA MEDICAL NETWORK INC
Active
Other names
Innova Medical Network Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JOON PARK (CHIEF OPERATION OFFICER)
(702) 761-9915
Entity
Organization
Contact information
Practice address
600 NORTH GARFIELD AVE, STE 111, MONTEREY PARK, CA 91754
(702) 761-9915
Mailing address
1001 WILSHIRE BLVD # 1369, LOS ANGELES, CA 90017-2415
(702) 761-9915
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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