Individual
BYUNG-GOOK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 OCONNOR DR STE 11, SAN JOSE, CA 95128-1638
(408) 885-0807
(831) 425-3878
Mailing address
627 WATER ST, SANTA CRUZ, CA 95060-4114
(831) 423-8753
(831) 425-3878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A88228
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A882280
—
CA
Enumeration date
09/25/2006
Last updated
03/31/2014
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