Individual
EUN KYUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
209 W ALAMEDA AVE STE 101, BURBANK, CA 91502-3023
(866) 227-3310
Mailing address
320 S ARDMORE AVE APT 234, LOS ANGELES, CA 90020-3162
(213) 458-0703
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95007780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95007780
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
02/27/2018
Last updated
06/16/2018
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