Individual
JIN K PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3663 W 6TH ST, #302, LOS ANGELES, CA 90020-3049
(213) 380-3306
(213) 384-9753
Mailing address
3663 W 6TH ST, #302, LOS ANGELES, CA 90020-3049
(213) 380-3306
(213) 384-9753
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
A35787
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A35787
STATE LICENSE NUMBER
CA
Enumeration date
02/04/2007
Last updated
07/08/2007
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