Organization
JUSTINE PARK, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTINE PARK MD (OWNER)
(818) 246-4936
Entity
Organization
Contact information
Practice address
435 ARDEN AVE STE 435, GLENDALE, CA 91203-4044
(818) 246-4936
(818) 246-4937
Mailing address
435 ARDEN AVE STE 435, GLENDALE, CA 91203-4044
(818) 246-4936
(818) 246-4937
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A88512
CA
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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