Organization
PAK PODIATRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES(SANG) JOON PAK D.P.M (OWNER)
(818) 242-8805
Entity
Organization
Contact information
Practice address
1123 S CENTRAL AVE, GLENDALE, CA 91204-2212
(818) 242-8805
(818) 242-4442
Mailing address
1123 S CENTRAL AVE, GLENDALE, CA 91204-2212
(818) 242-8805
(818) 242-4442
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4251
CA
Other
Enumeration date
02/07/2007
Last updated
11/08/2007
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