Organization
WOORI MEDICAL GROUP PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RO JONG PARK M.D. (PRESIDENT)
(858) 277-7111
Entity
Organization
Contact information
Practice address
7825 ENGINEER RD, STE 101, SAN DIEGO, CA 92111-1924
(858) 277-7111
(858) 277-7667
Mailing address
7825 ENGINEER RD, STE 101, SAN DIEGO, CA 92111-1924
(858) 277-7111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C51444
CA
208D00000X
General Practice Physician
Primary
C51913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275764706
—
CA
Enumeration date
07/31/2009
Last updated
03/20/2015
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