NPI 1003839002

Joong Y Park, MD

Practitioner General Practice Physician Los Angeles, CA

Practice location

Address: 3511 W Olympic Bl #101, Los Angeles, CA 90019
Phone: (323) 766-1057
Fax: (323) 766-8790

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence A39059 (CA)

Other General Practice providers in California →

Registry record

NPI: 1003839002
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2006
Record last updated: 6 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.