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Search › California › 171100000X

Jeong Ae Park, LAC, PHD

NPI 1720338510 · on the registry since 2012 · sole proprietor

Practice

Address
12235 Beach Blvd Ste 115a
Stanton, CA 90680
Phone
(714) 715-4223
Fax
(714) 716-8314
Organisation at this address
Active Steps
Mega Hospice Care
Astrea Hospice, Inc.
Howard R Knohl Md Inc
Worldwide Hospice Care
Inferred from a shared address, not stated in the registry.
Clinicians at this address
72

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-10-21

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