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Mr. James Jongtak Park, DO
Neurology Physician in Huntington Beach, California
NPI 1306871421

James Jongtak Park is a Neurology Physician based in Irvine, CA and is specialized in Neurology. James Jongtak Park practices in Huntington Beach, CA and has the professional credentials of DO. The NPI Number for James Jongtak Park is 1306871421 and holds a License No. 20A7365 (California).

The current practice location address for James Jongtak Park is 17822 Beach Blvd, Huntington Beach, CA and can be reached out via phone at 714-841-9922 and via fax at 714-841-3292.

Location: 17822 Beach Blvd, Huntington Beach, CA, 92602-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306871421
Provider Name
James Jongtak Park
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
17822 Beach Blvd, Huntington Beach, CA, 92602-2412
Phone Number
714-841-9922
Fax Number
714-841-3292
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00AX73650 01 CA MEDI-CAL
ZZZ04904Z 01 CA BLUE SHIELD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
17822 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-7101
Phone Number
714-841-9922
Fax Number
714-841-3292
person
Provider Business Mailing Address Details
Address
17822 Beach Blvd
City
Huntington Beach
State
California
Zip
92647-7101
Phone Number
714-841-9922
Fax Number
714-841-3292
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
20A7365 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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