Individual
IRIS PARK KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 NEILSON ST, WATSONVILLE, CA 95076
(831) 724-4741
(831) 763-6069
Mailing address
4280 VIA ARBOLADA UNIT 228, LOS ANGELES, CA 90042-5121
(714) 724-2756
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01093177A
IN
207L00000X
Anesthesiology Physician
2010004025
MO
207L00000X
Anesthesiology Physician
Primary
258895
NY
207L00000X
Anesthesiology Physician
A110533
CA
Other
Enumeration date
06/01/2007
Last updated
01/06/2025
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