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Individual

DR. EUGENE PAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11406 LOMA LINDA DR STE 516, LOMA LINDA, CA 92354-3711
(909) 558-6204
Mailing address
11406 LOMA LINDA DRIVE, SUITE 516, LOMA LINDA, CA 92354
(909) 558-6204

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
239973
NY
2084N0400X
Neurology Physician
C138763
CA
2084N0400X
Neurology Physician
MD426970
PA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
AM0443173-6259
NH
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
C138763
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02798103
NY
Enumeration date
06/19/2006
Last updated
07/21/2022
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