Individual
CAITLYN JEEIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621-4668
(714) 503-6550
Mailing address
7212 ORANGETHORPE AVE STE 9A, BUENA PARK, CA 90621-4668
(714) 503-6550
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95160347
CA
363LF0000X
Family Nurse Practitioner
Primary
95017087
CA
Other
Enumeration date
08/18/2019
Last updated
07/01/2021
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