Individual
DR. HENNA SHIM PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2176 SALK AVE STE 200, CARLSBAD, CA 92008-7346
(760) 827-7400
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 827-7400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20A21399
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2020
Last updated
07/24/2023
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