Individual
KEON MIN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
513 PARNASSUS AVENUE, S-321, UCSF - DEPARTMENT OF SURGERY, SAN FRANCISCO, CA 93132-0470
(415) 476-1239
Mailing address
513 PARNASSUS AVENUE, S-321, UCSF - DEPARTMENT OF SURGERY, SAN FRANCISCO, CA 93132-0470
(415) 476-1239
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A160755
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/23/2017
Last updated
02/27/2019
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