Individual
DANIEL JIHOON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTD
Contact information
Practice address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-1029
(323) 442-3061
Mailing address
1540 ALCAZAR ST STE 133, LOS ANGELES, CA 90089-1029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10957
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260106
N/A
—
Enumeration date
08/02/2021
Last updated
08/02/2021
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