person
Moon Joon Park, MD
Student in an Organized Health Care Education/Training Program in Fresno, California
NPI 1083293112

Moon Joon Park is a Student in an Organized Health Care Education/Training Program based in Fresno, CA. Moon Joon Park practices in Fresno, CA and has the professional credentials of MD. The NPI Number for Moon Joon Park is 1083293112 and holds a License No. (California).

The current practice location address for Moon Joon Park is 1313 E Herndon Ave, Fresno, CA and can be reached out via phone at 559-450-5372.

Location: 1313 E Herndon Ave, Fresno, CA, 93720-3306
person
Provider Profile Details
NPI Number
1083293112
Provider Name
Moon Joon Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1313 E Herndon Ave, Fresno, CA, 93720-3306
Phone Number
559-450-5372
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1313 E Herndon Ave
City
State
Zip
93720-3306
Phone Number
559-450-5372
Fax Number
person
Provider Business Mailing Address Details
Address
1313 E Herndon Ave
City
State
Zip
93720-3306
Phone Number
559-450-5372
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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