Organization
SANGDO PARK, M.D., A PROFESSIONAL CORPORATION
Active
Organization
SANGDO PARK, M.D., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGDO PARK M.D. (OWNER)
(213) 989-0644
Entity
Organization
Contact information
Practice address
2105 BEVERLY BLVD, SUITE 223, LOS ANGELES, CA 90057-2216
(213) 989-0644
Mailing address
2105 BEVERLY BLVD, SUITE 223, LOS ANGELES, CA 90057-2216
(213) 989-0644
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A107642
CA
Other
Enumeration date
09/10/2012
Last updated
10/24/2012
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