Search › California › 1223G0001X
Sooh Park
NPI 1477956175 · on the registry since 2014
Practice
- Address
- 34880 Yucaipa Blvd
Yucaipa, CA 92399 - Phone
- (909) 797-1136
- Organisation at this address
- Chokka Dental Corporation
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-01-06
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