Search › California › 183500000X
Je Pak
NPI 1528460763 · on the registry since 2014
Practice
- Address
- 5821 Antelope Rd
Sacramento, CA 95842 - Phone
- (916) 729-6236
- Organisation at this address
- Walmart Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-09-18
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