Search › California › 171100000X
Min Su Park
NPI 1922820455 · on the registry since 2024
Practice
- Address
- 853 S Lucerne Blvd Apt 102
Los Angeles, CA 90005 - Phone
- (818) 914-8804
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
- 2024-10-28
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