SearchCalifornia183500000X

Kyoung Jin Park

NPI 1932412459 · on the registry since 2010 · sole proprietor

Practice

Address
1501 W Main St
El Centro, CA 92243
Phone
(760) 352-5731
Organisation at this address
San Diego Vamc
Thrifty Payless Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

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
2014-06-10

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