Individual
SOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MOORES UCSD CANCER CTR, 3855 HEALTH SCIENCES DRIVE, MC-0829, LA JOLLA, CA 92093-0829
(858) 657-5281
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2012019698
MO
207RH0003X
Hematology & Oncology Physician
Primary
135455
CA
Other
Enumeration date
06/20/2012
Last updated
11/13/2025
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