# MIN S. PARK, M.D., INC.

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

## Provider details

- **NPI number:** 1588854962
- **Authorized official:** DR. MIN S PARK M.D. (PRESIDENT)
- **Authorized official phone:** (213) 382-0031

## Contact information

- **Practice address:** 2675 W OLYMPIC BLVD, SUITE 100, LOS ANGELES, CA 90006-2880
- **Practice address phone:** (213) 382-0031
- **Practice address fax:** (213) 480-0463
- **Mailing address:** 4735 GOULD AVE, LA CANADA FLINTRIDGE, CA 91011-2629
- **Mailing address phone:** (213) 382-0031
- **Mailing address fax:** (213) 480-0463

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | G78220 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 06/26/2012