Organization
PAK PODIATRY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG JOON PAK D.P.M (OWNER/PRESIDENT)
(213) 989-0700
Entity
Organization
Contact information
Practice address
1711 W TEMPLE ST, SUITE #3600, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Mailing address
1711 W TEMPLE ST, SUITE #3600, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4251
CALIFRONIA LICENSE NUMBER
CA
Enumeration date
05/14/2006
Last updated
01/24/2009
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