Individual
DR. SANG JOON PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
1711 W TEMPLE ST # 3600, LOS ANGELES, CA 90026-5421
(213) 989-0700
(213) 989-0703
Mailing address
1023 SUNSET BLVD APT C, ARCADIA, CA 91007-7257
(626) 254-1538
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4251
PODIATRY LICENSE NUMBER
CA
Enumeration date
07/06/2006
Last updated
02/04/2009
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