Individual
RO JONG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7825 ENGINEER RD, #101, SAN DIEGO, CA 92111-1929
(858) 277-7111
(858) 277-7667
Mailing address
7825 ENGINEER RD, #101, SAN DIEGO, CA 92111-1929
(858) 277-7111
(858) 277-7667
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
32106
MI
208600000X
Surgery Physician
Primary
C51913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104171946
—
MI
Enumeration date
07/26/2006
Last updated
11/21/2007
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