Individual
HOOSHANG PAK
Active
Individual
HOOSHANG PAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A36596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A36596
—
CA
01
—
W19727
GROUP ID
CA
01
—
WA36596A
PPIN
CA
Enumeration date
06/08/2006
Last updated
04/19/2011
Update your record
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