Individual
JASON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
14450 HOOVER ST, WESTMINSTER, CA 92683-5319
(714) 373-9888
Mailing address
14450 HOOVER ST, WESTMINSTER, CA 92683-5319
(714) 373-9888
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO04571
CA
224P00000X
Prosthetist
CPO04571
CA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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