Individual
JOONG Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3511 W OLYMPIC BL, #101, LOS ANGELES, CA 90019
(323) 766-1057
(323) 766-8790
Mailing address
3511 W OLYMPIC BL, #101, LOS ANGELES, CA 90019
(323) 766-1057
(323) 766-8790
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A39059
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A390590
—
CA
Enumeration date
07/25/2006
Last updated
12/06/2010
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