person
Joong Y Park, MD
General Practice Physician in Los Angeles, California
NPI 1003839002

Joong Y Park is a General Practice Physician based in Los Angeles, CA. Joong Y Park practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Joong Y Park is 1003839002 and holds a License No. A39059 (California).

The current practice location address for Joong Y Park is 3511 W Olympic Bl, Los Angeles, CA and can be reached out via phone at 323-766-1057 and via fax at 323-766-8790.

Location: 3511 W Olympic Bl, Los Angeles, CA, 90019
person
Provider Profile Details
NPI Number
1003839002
Provider Name
Joong Y Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3511 W Olympic Bl, Los Angeles, CA, 90019
Phone Number
323-766-1057
Fax Number
323-766-8790
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A390590 05 CA
institution
Provider Business Practice Location Address Details
Address
3511 W Olympic Bl
City
State
Zip
90019
Phone Number
323-766-1057
Fax Number
323-766-8790
person
Provider Business Mailing Address Details
Address
3511 W Olympic Bl
City
State
Zip
90019
Phone Number
323-766-1057
Fax Number
323-766-8790
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A39059 (California)
Definition
Definition to come...
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