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Organization
MICHELLE JO PARK, MD, INC.
Active
Organization
MICHELLE JO PARK, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PARK M.D. (CEO)
(949) 864-6784
Entity
Organization
Contact information
Practice address
4199 CAMPUS DR, SUITE 550, IRVINE, CA 92612-4684
(949) 864-6784
Mailing address
4199 CAMPUS DR, SUITE 550, IRVINE, CA 92612-4684
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A106354
CA
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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