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Organization
WOORI MEDICAL GROUP PROFESSIONAL CORP
Active
Organization
WOORI MEDICAL GROUP PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RO JONG PARK M.D. (PRESIDENT)
(858) 277-7111
Entity
Organization
Contact information
Practice address
7825 ENGINEER RD, STE 101, SAN DIEGO, CA 92111-1924
(858) 277-7111
(858) 277-7667
Mailing address
7825 ENGINEER RD, STE 101, SAN DIEGO, CA 92111-1924
(858) 277-7111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C51444
CA
208D00000X
General Practice Physician
Primary
C51913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275764706
—
CA
Enumeration date
07/31/2009
Last updated
03/20/2015
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