Organization
PAKS MEDICAL CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEWOO PAK M.D. (PRESIDENT)
(562) 809-8830
Entity
Organization
Contact information
Practice address
11839 SOUTH ST., CERRITOS, CA 90703-6825
(562) 809-8830
(562) 809-3893
Mailing address
11839 SOUTH ST., CERRITOS, CA 90703-6825
(562) 809-8830
(562) 809-3893
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G077617
CA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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