Individual
DR. SUSIE H. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1985 ZONAL AVE, LOS ANGELES, CA 90033
(323) 442-1675
(323) 442-1681
Mailing address
143 TAPESTRY, IRVINE, CA 92603-0684
(949) 725-0599
(323) 442-1681
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
RPH52132
CA
Other
Enumeration date
04/30/2007
Last updated
03/08/2012
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