Individual
JUN SUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(833) 574-2273
Mailing address
6041 CADILLAC AVE, LOS ANGELES, CA 90034-1702
(833) 574-2273
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95040494
CA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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