Individual
CHAN YOUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 500, LOS ANGELES, CA 90073-1003
(818) 307-0280
Mailing address
11209 NATIONAL BLVD UNIT 1055, LOS ANGELES, CA 90064-3902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A189210
CA
Other
Enumeration date
04/05/2020
Last updated
01/16/2025
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