Organization
PAUL W PARK MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL WONYOUNG PARK MD (OWNER)
(713) 385-0618
Entity
Organization
Contact information
Practice address
4278 W 3RD ST, LOS ANGELES, CA 90020-3449
(213) 368-0388
(213) 368-0389
Mailing address
7512 YANKEY ST, DOWNEY, CA 90242-2242
(713) 385-0618
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A91067
CA
Other
Enumeration date
01/09/2012
Last updated
04/24/2017
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