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Organization

STEMACT.INK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JIN HEE PARK (LAC)
(949) 517-8188
Entity
Organization

Contact information

Practice address
22 ODYSSEY, SUITE 155, IRVINE, CA 92618
(949) 517-8188
(949) 381-5584
Mailing address
22 ODYSSEY STE 155, IRVINE, CA 92618-3194
(949) 517-8188
(949) 381-5584

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC 15771
CA

Other

Enumeration date
10/06/2014
Last updated
12/16/2014
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