Susan Jung Park
NPI #1114253515 in Fountain Valley, California
Provider Information
- NPI Number
- 1114253515
- Entity Type
- Individual
- Name
- Susan Jung Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 20, 2009
- Last Updated
- May 19, 2010
Practice Location
- Address
- 11420 WARNER AVE
- City
- Fountain Valley
- State
- California
- ZIP Code
- 92708-2529
- Phone
- (714) 549-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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