Individual
JULIE PARK SIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3275 SKYPARK DR, STE 4, TORRANCE, CA 90505-5027
(310) 517-4709
Mailing address
3275 SKYPARK DR, STE 4, TORRANCE, CA 90505-5027
(310) 517-4709
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A80266
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A802660
—
CA
Enumeration date
06/14/2006
Last updated
04/14/2010
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