Organization
JAESOO PAK, MD MEDICAL CLINIC,INC.
Active
Organization
JAESOO PAK, MD MEDICAL CLINIC,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAESOO PAK M.D. (PRESIDENT)
(562) 809-2103
Entity
Organization
Contact information
Practice address
11845 SOUTH STREET, CERRTIOS, CA 90703-6825
(562) 809-2103
Mailing address
11845 SOUTH STREET, CERRTIOS, CA 90703-6825
(562) 809-2103
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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