Individual
JONG KWAN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
14261 DON JULIAN RD, CITY OF INDUSTRY, CA 91746-3038
(213) 375-8427
Mailing address
5144 LA CRESCENTA AVE, LA CRESCENTA, CA 91214-2136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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