Organization
D. J. JOHN PARK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONG JUN JOHN PARK M.D. (PRESIDENT)
(714) 326-7715
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DR STE 170, NEWPORT BEACH, CA 92660-0937
(949) 777-6883
(949) 629-4011
Mailing address
180 NEWPORT CENTER DR STE 170, NEWPORT BEACH, CA 92660-0937
(949) 777-6883
(949) 629-4011
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
A98835
CA
Other
Enumeration date
04/15/2013
Last updated
01/06/2022
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