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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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