Organization
SUNG-UN JUSTIN PARK M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE PARK (OFFICE MANAGER)
(714) 484-8054
Entity
Organization
Contact information
Practice address
3055 W ORANGE AVE STE 101, ANAHEIM, CA 92804-3152
(714) 484-8054
(714) 484-8072
Mailing address
3055 W ORANGE AVE STE 101, ANAHEIM, CA 92804-3152
(714) 484-8054
(714) 484-8072
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A48704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A487041
—
CA
01
—
A48704
LICENSE NUMBER
CA
Enumeration date
10/03/2007
Last updated
05/23/2023
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