Search › California › 171100000X
Soonju Park
NPI 1154619872 · on the registry since 2011
Practice
- Address
- 2727 W 6th St
Los Angeles, CA 90057 - Phone
- (213) 738-0712
- Organisation at this address
- South Baylo University
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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