Individual
JOANNA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 W 6TH ST STE 111, LOS ANGELES, CA 90017-1823
(213) 607-4400
Mailing address
3609 OAKLAWN LN, PICO RIVERA, CA 90660-5937
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1763
CA
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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