Individual
DR. JAE PAUL PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5757 WILSHIRE BLVD, SUITE 2, LOS ANGELES, CA 90036-5810
(310) 553-9113
(310) 553-8626
Mailing address
20849 BRIGHTON AVE, TORRANCE, CA 90501-2308
(949) 231-9392
(310) 553-8626
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A96732
CA
Other
Enumeration date
08/30/2007
Last updated
06/07/2012
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