Individual
CHUL S PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 S ARDMORE AVE, LOS ANGELES, CA 90020-3330
(424) 258-4402
Mailing address
525 S ARDMORE AVE, LOS ANGELES, CA 90020-3330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP29203
CA
Other
Enumeration date
01/15/2021
Last updated
03/07/2022
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