Individual
DR. JASON CHAN HYUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, SCS
Contact information
Practice address
2440 W CARSON ST, TORRANCE, CA 90501-3146
(310) 701-9971
Mailing address
1506 VENICE BLVD APT 207, VENICE, CA 90291-5925
(310) 701-9971
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
42232
CA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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