Individual
MR. JUNG HO PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
1350 MIDVALE AVE APT 120, LOS ANGELES, CA 90024-6340
(213) 500-4047
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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