Individual
HO SEONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
808 S VERMONT AVE, 101, LOS ANGELES, CA 90005-1584
(213) 382-5420
(213) 382-7404
Mailing address
808 S VERMONT AVE, 101, LOS ANGELES, CA 90005-1584
(213) 382-5420
(213) 382-7404
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A363110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A363110
—
CA
Enumeration date
12/07/2006
Last updated
07/08/2007
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