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Dr. Jongsook Susie Park, MD
Gynecology Physician in Garden Grove, California
NPI 1821052630

Jongsook Susie Park is a Gynecology Physician based in Garden Grove, CA and is specialized in Gynecology. Jongsook Susie Park practices in Garden Grove, CA and has the professional credentials of MD. The NPI Number for Jongsook Susie Park is 1821052630 and holds a License No. C41515 (California).

The current practice location address for Jongsook Susie Park is 12665 Garden Grove Blvd #505, Garden Grove, CA and can be reached out via phone at 714-534-2110 and via fax at 714-534-1155.

Location: 12665 Garden Grove Blvd #505, Garden Grove, CA, 92843
person
Provider Profile Details
NPI Number
1821052630
Provider Name
Jongsook Susie Park
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
12665 Garden Grove Blvd #505, Garden Grove, CA, 92843
Phone Number
714-534-2110
Fax Number
714-534-1155
Provider Enumeration Date
04/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00C415150 05 CA
institution
Provider Business Practice Location Address Details
Address
12665 Garden Grove Blvd #505
City
State
Zip
92843
Phone Number
714-534-2110
Fax Number
714-534-1155
person
Provider Business Mailing Address Details
Address
12665 Garden Grove Blvd #505
City
State
Zip
92843
Phone Number
714-534-2110
Fax Number
714-534-1155
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
C41515 (California)
Definition
Definition to come...
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