Organization
LYDIA SOMI PARK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYDIA SOMI PARK MD (CEO)
(877) 222-4090
Entity
Organization
Contact information
Practice address
402 W BROADWAY FL 21, SAN DIEGO, CA 92101-8574
(877) 222-4090
Mailing address
402 W BROADWAY FL 21, SAN DIEGO, CA 92101-8574
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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