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Jeong Ho Park

NPI 1114654829 · on the registry since 2022 · sole proprietor

Practice

Address: 1652 Mono Ave
San Leandro, CA 94578
Phone: (510) 481-3200
Organisation at this address: Ty Five Star Corp
Ty Five Star Corporation
All Saintsidence Opco, Llc
All Saints Subacute & Rehabilitation Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Physical Therapist
225100000X
Also registered as: Physical Therapist
Licence states on file: CA, TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-12-07

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