Organization
JOONG YOUNG PARK M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOONG YOUNG PARK M.D. (PRESIDENT)
(714) 534-1112
Entity
Organization
Contact information
Practice address
9535 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1551
(714) 534-1112
(714) 534-1116
Mailing address
9535 GARDEN GROVE BLVD STE 104, GARDEN GROVE, CA 92844-1551
(714) 534-1112
(714) 534-1116
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
10/04/2007
Last updated
09/16/2009
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