# PAKS MEDICAL CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497975833
- **Authorized official:** DR. JAEWOO PAK M.D. (PRESIDENT)
- **Authorized official phone:** (562) 809-8830

## Contact information

- **Practice address:** 11839 SOUTH ST., CERRITOS, CA 90703-6825
- **Practice address phone:** (562) 809-8830
- **Practice address fax:** (562) 809-3893
- **Mailing address:** 11839 SOUTH ST., CERRITOS, CA 90703-6825
- **Mailing address phone:** (562) 809-8830
- **Mailing address fax:** (562) 809-3893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G077617 | CA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020