Organization
JAESOO PAK, MD
Active
Other names
Cerritos Endoscopic Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAESOO PAK M.D. (MEDICAL DIRECTOR)
(562) 809-2103
Entity
Organization
Contact information
Practice address
11845 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-2103
Mailing address
11845 SOUTH ST, CERRITOS, CA 90703-6825
(562) 809-2103
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0800X
Endoscopy Clinic/Center
Primary
05-C0001451
CA
Other
Enumeration date
08/06/2007
Last updated
06/19/2008
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