Individual
ELLIE HEE YOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16450 VETERANS WAY UNIT 203, TUSTIN, CA 92782-2843
(917) 532-0537
Mailing address
16450 VETERANS WAY UNIT 203, TUSTIN, CA 92782-2843
(917) 532-0537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
615921
NY
Other
Enumeration date
10/09/2019
Last updated
09/03/2025
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