Individual
DR. MIN SEUK PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2681 W OLYMPIC BLVD, SUITE 220, LOS ANGELES, CA 90006-2810
(213) 382-0031
(213) 480-0463
Mailing address
4735 GOULD AVE, LA CANADA FLINTRIDGE, CA 91011-2629
(323) 377-9143
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G78220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G782200
—
CA
01
—
G78220
STATE LICENSE NUMBER
CA
Enumeration date
08/30/2005
Last updated
12/28/2015
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