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Individual

DR. YONG HOON PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD.

Contact information

Practice address
12401 EAST WASHINGTON BLVD., WHITTIER, CA 90602-1006
(562) 698-0811
(562) 306-8200
Mailing address
PO BOX 511228, LOS ANGELES, CA 90051-3026
(562) 698-0811
(562) 309-8200

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
8171
NV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G75600
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G756000
CA
05
200290212
NV
01
NV9189
BLUE
NV
01
P00664706
RR MEDICARE
CA
Enumeration date
01/10/2006
Last updated
01/23/2014
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