Search › California › 122300000X
Jaein Park
NPI 1265627913 · on the registry since 2007
Practice
- Address
- 16175 Blue Haven Ct
Riverside, CA 92503 - Phone
- (951) 343-7752
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-06
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