Individual
JONG HYUN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90089-1001
(323) 409-1000
Mailing address
PO BOX 2352, LA HABRA, CA 90632-2352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A186433
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
02/27/2024
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