Search › California › 171100000X
Chanjoon Park, LAC
NPI 1588966063 · on the registry since 2010 · sole proprietor
Practice
- Address
- 905 S Euclid St #111
Fullerton, CA 92832 - Phone
- (714) 446-9114
- Fax
- (562) 299-5912
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
- 2010-12-03
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