person
Heesung Park
Student in an Organized Health Care Education/Training Program in Moreno Valley, California
NPI 1619430287

Heesung Park is a Student in an Organized Health Care Education/Training Program based in Moreno Valley, CA. Heesung Park practices in Moreno Valley, CA. The NPI Number for Heesung Park is 1619430287 and holds a License No. (California).

The current practice location address for Heesung Park is 26520 Cactus Ave, Moreno Valley, CA and can be reached out via phone at 951-486-4381.

Location: 26520 Cactus Ave, Moreno Valley, CA, 92555-3927
person
Provider Profile Details
NPI Number
1619430287
Provider Name
Heesung Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
26520 Cactus Ave, Moreno Valley, CA, 92555-3927
Phone Number
951-486-4381
Fax Number
Provider Enumeration Date
04/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26520 Cactus Ave
City
State
Zip
92555-3927
Phone Number
951-486-4381
Fax Number
person
Provider Business Mailing Address Details
Address
26520 Cactus Ave
City
State
Zip
92555-3927
Phone Number
951-486-4381
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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