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Individual

EUNG GYEONG PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3111 N TUSTIN ST STE 100, ORANGE, CA 92865-1751
(818) 241-6780
(800) 819-7806
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23667
CA

Other

Enumeration date
02/12/2020
Last updated
05/12/2022
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