Jeong Sik Park, M.D

NPI 1528078961 · on the registry since 2006 · sole proprietor

Practice

Address: 15250 Lakeshore Dr Ste C
Clearlake, CA 95422
Phone: (707) 995-7077
Fax: (707) 995-0904
Organisation at this address: Jeong Sik Park Md A Prof Corp
Lake Silverado Cardiovascular Consultants
Adventist Health California Medical Group, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 174400000X
174400000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-09-20

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