Organization
KEN MIN CHAI PAK M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIN CHAI PAK M.D. (PHYSICIAN/OWNER)
(626) 564-8457
Entity
Organization
Contact information
Practice address
14540 VICTORY BLVD, SUITE 100, VAN NUYS, CA 91411-1600
(818) 989-9700
Mailing address
315 S GRAND OAKS AVE, PASADENA, CA 91107-5009
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A055770
CA
Other
Enumeration date
07/04/2006
Last updated
08/22/2020
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