Individual
DONG JUN JOHN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 NEWPORT CENTER DR STE 170, NEWPORT BEACH, CA 92660-0937
(949) 777-6883
(949) 629-4011
Mailing address
180 NEWPORT CENTER DR STE 170, NEWPORT BEACH, CA 92660-0937
(949) 777-6883
(949) 629-4011
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A98835
CA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
A98835
CA
208200000X
Plastic Surgery Physician
A98835
CA
Other
Enumeration date
01/14/2006
Last updated
01/06/2022
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