Individual
HANA PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
95009669
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95009669
CA
Other
Enumeration date
08/15/2018
Last updated
10/18/2018
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