Organization
LOUIS S PARK M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUIS SANGSOO PARK M.D. (PRESIDENT)
(310) 613-4945
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE # 600, LOS ANGELES, CA 90027-6098
(213) 484-8446
(323) 913-4351
Mailing address
1300 N VERMONT AVE # 600, LOS ANGELES, CA 90027-6098
(213) 484-8446
(323) 913-4351
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G79245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G792450
—
CA
Enumeration date
06/11/2010
Last updated
10/12/2017
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