Individual
DR. JEANNY KIM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-3589
(916) 734-0424
Mailing address
2516 STOCKTON BLVD, SACRAMENTO, CA 95817-2208
(916) 734-3589
(916) 734-0424
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G68672
CA
Other
Enumeration date
11/15/2005
Last updated
10/25/2007
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