Individual
DR. LOUIS SANG-SOO PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 N VERMONT AVE, # 600, LOS ANGELES, CA 90027-6098
(213) 484-8446
(323) 913-4351
Mailing address
1300 N VERMONT AVE, # 600, LOS ANGELES, CA 90027-6098
(213) 484-8446
(323) 913-4351
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G79245
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G792450
—
CA
01
—
P00156667
RAILROAD MEDICARE
CA
Enumeration date
06/16/2006
Last updated
10/12/2017
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