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Han Park

NPI 1588177836 · on the registry since 2017

Practice

Address
9650 Baseline Rd
Rancho Cucamonga, CA 91701
Phone
(909) 987-3518
Fax
(909) 466-4689
Organisation at this address
Thrifty Payless Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

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
2017-11-08

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