Individual
AMY HYEMIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 BODIN CIR, FAIRFIELD, CA 94535-1809
(510) 552-6254
Mailing address
11527 HYDE PARK CT, CERRITOS, CA 90703-1776
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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