Individual
ELLEN CHANG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
(415) 476-1435
Mailing address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95021937
CA
Other
Enumeration date
07/30/2022
Last updated
10/20/2022
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