Individual
ESTHER SOUYON PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11845 W OLYMPIC BLVD STE 900W, LOS ANGELES, CA 90064-5086
(424) 272-7502
Mailing address
690 VETERAN AVE APT 215, LOS ANGELES, CA 90024-1935
(443) 480-7255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
143191
CA
Other
Enumeration date
03/22/2013
Last updated
10/27/2023
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