Search › California › 171100000X
Jea Young Park, L, AC
NPI 1700116704 · on the registry since 2010 · sole proprietor
Practice
- Address
- 3100 E Imperial Hwy # J11
Lynwood, CA 90262 - Phone
- (310) 609-2820
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
- 2010-01-13
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