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Chan Young Park, MD
Student in an Organized Health Care Education/Training Program in Los Angeles, California
NPI 1366071045

Chan Young Park is a Student in an Organized Health Care Education/Training Program based in Los Angeles, CA. Chan Young Park practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Chan Young Park is 1366071045 and holds a License No. 5785 (California).

The current practice location address for Chan Young Park is 11301 Wilshire Blvd Bldg 500, Los Angeles, CA and can be reached out via phone at 818-307-0280.

Location: 11301 Wilshire Blvd Bldg 500, Los Angeles, CA, 90073-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366071045
Provider Name
Chan Young Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
11301 Wilshire Blvd Bldg 500, Los Angeles, CA, 90073-1003
Phone Number
818-307-0280
Fax Number
Provider Enumeration Date
04/05/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
11301 Wilshire Blvd Bldg 500
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
818-307-0280
Fax Number
person
Provider Business Mailing Address Details
Address
11301 Wilshire Blvd Bldg 500
City
Los Angeles
State
California
Zip
90073-1003
Phone Number
818-307-0280
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5785 (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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