Individual
JEAN PAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 E 11TH ST STE 201, UPLAND, CA 91786-4872
(909) 985-0883
Mailing address
811 E 11TH ST STE 201, UPLAND, CA 91786-4872
(909) 985-0883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
PA62963
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2017
Last updated
09/08/2023
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