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Individual

DR. JINHA MARK PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
100 W CALIFORNIA BLVD, PASADENA, CA 91105-3010
(626) 397-5139
Mailing address
223 N 1ST AVE, ARCADIA, CA 91006-7027
(626) 821-1411

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A80100
CA
2085R0202X
Diagnostic Radiology Physician
Primary
A80100
CA

Other

Enumeration date
02/06/2007
Last updated
09/30/2024
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