Individual
DR. JULIANA YOUNGMIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 HAMAKER CT, SUITE B-103, FAIRFAX, VA 22031-2238
(703) 573-9688
(703) 207-9396
Mailing address
3020 HAMAKER CT, SUITE B-103, FAIRFAX, VA 22031-2238
(703) 573-9688
(703) 207-9396
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
010154277
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1031145
FIRSTHEALTH,MAILHANDLERS,
VA
01
—
140964
ANTHEM & BCBS FEDERAL
VA
01
—
340868
ALLIANCE
VA
01
—
5357721
AETNA
VA
01
—
F051-0001
CAREFIRST
VA
Enumeration date
11/06/2006
Last updated
11/04/2007
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