Organization
JAE PAUL PAK, M.D. CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE PAUL PAK M.D. (PRESIDENT)
(310) 849-0326
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD, SUITE 2, LOS ANGELES, CA 90036-5810
(310) 849-0326
Mailing address
20849 BRIGHTON AVE, TORRANCE, CA 90501-2308
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A96732
CA
Other
Enumeration date
05/02/2007
Last updated
06/07/2012
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