Search › California › 171100000X
Seung Yong Park
NPI 1093130684 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1231 W Central Ave Ste B
Brea, CA 92821 - Phone
- (714) 582-2115
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-07-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California