Individual
MS. ANGELA GIN YOUNG PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
333 CITY BLVD W STE 500, ORANGE, CA 92868-5911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95021738
CA
Other
Enumeration date
07/20/2022
Last updated
09/12/2023
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