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Lydia Somi Park, M.d., P.c.
Clinic/Center in San Diego, California
NPI 1760122261

Lydia Somi Park, M.d., P.c. is a Clinic/Center based in San Diego, CA. Lydia Somi Park, M.d., P.c. practices in San Diego, CA. The NPI Number for Lydia Somi Park, M.d., P.c. is 1760122261 and holds a License No. (California).

The current practice location address for Lydia Somi Park, M.d., P.c. is 402 W Broadway Fl 21, San Diego, CA and can be reached out via phone at 877-222-4090.

Location: 402 W Broadway Fl 21, San Diego, CA, 92101-8574
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760122261
Provider Name
Lydia Somi Park, M.d., P.c.
Credential
Provider Entity Type
Organization
Address
402 W Broadway Fl 21, San Diego, CA, 92101-8574
Phone Number
877-222-4090
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
402 W Broadway Fl 21
City
San Diego
State
California
Zip
92101-8574
Phone Number
877-222-4090
Fax Number
person
Provider Business Mailing Address Details
Address
402 W Broadway Fl 21
City
San Diego
State
California
Zip
92101-8574
Phone Number
877-222-4090
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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