# MIN JUNG PARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700048279
- **Gender:** Man
- **Credential:** MD, MMSC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A125606 | CA | Yes |
| 207X00000X | Orthopaedic Surgery Physician | MT192455 | PA | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | A125606 | CA | — |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 12/08/2021