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Individual

DR. THEODORE ROBERTSON PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-8888

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
291119
MA
207RI0200X
Infectious Disease Physician
291119
MA
207RI0200X
Infectious Disease Physician
Primary
A203241
CA

Other

Enumeration date
03/18/2019
Last updated
01/09/2026
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