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Individual

SUSAN LEE PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, L AC

Contact information

Practice address
2700 ALTON PKWY STE 233, IRVINE, CA 92606-2646
(949) 475-2500
Mailing address
19745 E COLIMA RD, SUITE 12, ROWLAND HEIGHTS, CA 91748
(909) 595-5550

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
CA10252
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95035073
CA

Other

Enumeration date
06/16/2008
Last updated
05/13/2025
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