Individual
MR. JOHNNY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HAD
Contact information
Practice address
1058 S VERMONT AVE, SUITE 109, LOS ANGELES, CA 90006-2721
(213) 368-6300
Mailing address
1058 S VERMONT AVE, SUITE 109, LOS ANGELES, CA 90006-2721
(213) 368-6300
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
7708
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7708
HEARING AID DISPENSER
CA
Enumeration date
01/10/2012
Last updated
02/02/2012
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