Individual
DR. YOUNG CHA PARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1481 S KING ST, #422, HONOLULU, HI 96814-2601
(808) 398-2103
Mailing address
1177 QUEEN STREET,, SUITE 1708, HONOLULU, HI 96814-4144
(808) 591-6585
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
HI 11088
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
565963
—
HI
Enumeration date
05/24/2006
Last updated
07/08/2007
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