Individual
SUNG PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10999 RIVERSIDE DR STE 306, NORTH HOLLYWOOD, CA 91602-2239
(818) 824-3702
(818) 824-3712
Mailing address
10999 RIVERSIDE DR STE 306, NORTH HOLLYWOOD, CA 91602-2239
(818) 824-3702
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A51126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992134696
—
CA
Enumeration date
01/14/2022
Last updated
01/14/2022
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