Individual
JAEWOO PAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4840 IRVINE BLVD STE 203, IRVINE, CA 92620-1962
(714) 389-7000
Mailing address
4840 IRVINE BLVD STE 203, IRVINE, CA 92620-1962
(714) 389-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G077617
CA
208VP0000X
Pain Medicine Physician
Primary
G077617
CA
Other
Enumeration date
12/26/2006
Last updated
06/17/2021
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