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Organization
JENNY PARK OPTOMETRY
Active
Organization
JENNY PARK OPTOMETRY
Active
Other names
Jenny Park Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNY PARK (OPTOMETRIST)
(206) 446-2800
Entity
Organization
Contact information
Practice address
6600 TOPANGA CANYON BLVD UNIT 1, CANOGA PARK, CA 91303-2601
(818) 883-8220
Mailing address
6600 TOPANGA CANYON BLVD UNIT 1, CANOGA PARK, CA 91303-2601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14630
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356752372
NPI
CA
Enumeration date
10/07/2016
Last updated
08/18/2021
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