Organization
JUN KYU PARK, M.D. INC.
Active
Other names
Jun Park MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUN KYU PARK MD (PRESIDENT)
(818) 984-1942
Entity
Organization
Contact information
Practice address
7300 MEDICAL CENTER DR, WEST HILLS, CA 91307-1902
(818) 984-1942
(818) 786-5417
Mailing address
6236 MAMMOTH AVE, VAN NUYS, CA 91401-2936
(818) 984-1942
(818) 786-5417
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A98074
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0392239
—
CA
01
—
CD104A
MEDICARE PROVIDER NUMBER
CA
Enumeration date
05/20/2013
Last updated
05/20/2013
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