institution
Joong Young Park M.d. Inc.
General Practice Physician in Garden Grove, California
NPI 1104014034

Joong Young Park M.d. Inc. is a General Practice Physician based in Garden Grove, CA. Joong Young Park M.d. Inc. practices in Garden Grove, CA. The NPI Number for Joong Young Park M.d. Inc. is 1104014034 and holds a License No. A39059 (California).

The current practice location address for Joong Young Park M.d. Inc. is 9535 Garden Grove Blvd Ste 104, Garden Grove, CA and can be reached out via phone at 714-534-1112 and via fax at 714-534-1116.

Location: 9535 Garden Grove Blvd Ste 104, Garden Grove, CA, 92844-1551
institution
Provider Profile Details
NPI Number
1104014034
Provider Name
Joong Young Park M.d. Inc.
Credential
Provider Entity Type
Organization
Address
9535 Garden Grove Blvd Ste 104, Garden Grove, CA, 92844-1551
Phone Number
714-534-1112
Fax Number
714-534-1116
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A390590 05 CA
institution
Provider Business Practice Location Address Details
Address
9535 Garden Grove Blvd Ste 104
City
State
Zip
92844-1551
Phone Number
714-534-1112
Fax Number
714-534-1116
person
Provider Business Mailing Address Details
Address
9535 Garden Grove Blvd Ste 104
City
State
Zip
92844-1551
Phone Number
714-534-1112
Fax Number
714-534-1116
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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