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Organization
JBP MEDICAL GROUP
Active
Organization
JBP MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN PARK MD (OWNER/PHYSICIAN)
(714) 773-2327
Entity
Organization
Contact information
Practice address
9200 MILLIKEN AVE APT 1112, RANCHO CUCAMONGA, CA 91730-5485
(714) 773-2379
Mailing address
9200 MILLIKEN AVE APT 1112, RANCHO CUCAMONGA, CA 91730-5485
(714) 773-2379
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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