Manuelsung Park

NPI 1396320834 · on the registry since 2021 · sole proprietor

Practice

Address: 3054 W 8th St Ste 202
Los Angeles, CA 90005
Phone: (949) 404-0033
Organisation at this address: Marie Kim Dds., Inc
Gitae Kim Dental Group Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

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: 2021-03-16

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