Individual
HEE-JUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
A104135
CA
207W00000X
Ophthalmology Physician
Primary
D69851
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027297300
—
MD
05
—
0A1041350
—
CA
Enumeration date
10/23/2006
Last updated
02/21/2012
Update your record
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