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Jaesoo Pak, Md
Endoscopy Clinic/Center in Cerritos, California
NPI 1366633257

Jaesoo Pak, Md is a Endoscopy Clinic/Center based in Cerritos, CA and is specialized in Endoscopy. Jaesoo Pak, Md practices in Cerritos, CA. The NPI Number for Jaesoo Pak, Md is 1366633257 and holds a License No. (California).

The current practice location address for Jaesoo Pak, Md is 11845 South St, Cerritos, CA and can be reached out via phone at 562-809-2103.

Location: 11845 South St, Cerritos, CA, 90703-6825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366633257
Provider Name
Jaesoo Pak, Md
Credential
Provider Entity Type
Organization
Address
11845 South St, Cerritos, CA, 90703-6825
Phone Number
562-809-2103
Fax Number
Provider Enumeration Date
08/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11845 South St
City
Cerritos
State
California
Zip
90703-6825
Phone Number
562-809-2103
Fax Number
person
Provider Business Mailing Address Details
Address
11845 South St
City
Cerritos
State
California
Zip
90703-6825
Phone Number
562-809-2103
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
261QA1903X
License No.
05-C0001451 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Endoscopy
Taxonomy
261QE0800X
License No.
()
Definition
Definition to come...
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