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Dr. Jean Park, MDMPH
Obstetrics & Gynecology Physician in Fontana, California
NPI 1205098183

Jean Park is a Obstetrics & Gynecology Physician based in Fontana, CA. Jean Park practices in Fontana, CA and has the professional credentials of MDMPH. The NPI Number for Jean Park is 1205098183 and holds a License No. 11014577A (California).

The current practice location address for Jean Park is 9985 Sierra Ave, Fontana, CA and can be reached out via phone at 909-427-5629.

Location: 9985 Sierra Ave, Fontana, CA, 92335-6720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205098183
Provider Name
Jean Park
Credential
MDMPH
Provider Entity Type
Individual
Gender
Female
Address
9985 Sierra Ave, Fontana, CA, 92335-6720
Phone Number
909-427-5629
Fax Number
Provider Enumeration Date
07/01/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11014577A 01 IN STATE LICENSE
A117145 01 CA CALIFORNIA MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
9985 Sierra Ave
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-5629
Fax Number
person
Provider Business Mailing Address Details
Address
9985 Sierra Ave
City
Fontana
State
California
Zip
92335-6720
Phone Number
909-427-5629
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
11014577A (Indiana)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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