Individual
JENNIFER Y PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
(626) 585-0695
Mailing address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2003004247
MO
207V00000X
Obstetrics & Gynecology Physician
Primary
A91570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A91570
—
CA
05
—
GR0101240
—
CA
05
—
GR0101241
—
CA
Enumeration date
06/01/2006
Last updated
03/02/2010
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