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Individual
SEOK PARK
Active
Individual
SEOK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LAC
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
11889
CA
171100000X
Acupuncturist
Primary
U01592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
443601600
MEDICAL ASSISTANCE
MD
01
—
C7VJS 92173902
CAREFIRST
MD
01
—
Y300-0001
CAREFIRST
DC
Enumeration date
07/13/2007
Last updated
10/12/2012
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