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Justin Jong-gene Park, MD
Student in an Organized Health Care Education/Training Program in Irvine, California
NPI 1255034534

Justin Jong-gene Park is a Student in an Organized Health Care Education/Training Program based in Irvine, CA. Justin Jong-gene Park practices in Irvine, CA and has the professional credentials of MD. The NPI Number for Justin Jong-gene Park is 1255034534 and holds a License No. (California).

The current practice location address for Justin Jong-gene Park is 71 Homeland, Irvine, CA and can be reached out via phone at 949-680-6284.

Location: 71 Homeland, Irvine, CA, 92618-8801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255034534
Provider Name
Justin Jong-gene Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
71 Homeland, Irvine, CA, 92618-8801
Phone Number
949-680-6284
Fax Number
Provider Enumeration Date
03/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
71 Homeland
City
Irvine
State
California
Zip
92618-8801
Phone Number
949-680-6284
Fax Number
person
Provider Business Mailing Address Details
Address
71 Homeland
City
Irvine
State
California
Zip
92618-8801
Phone Number
949-680-6284
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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