Jeong Sik Park, M.D.
NPI #1528078961 in Clearlake, California
Provider Information
- NPI Number
- 1528078961
- Entity Type
- Individual
- Name
- Jeong Sik Park, M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- M.D.
- Enumeration Date
- Aug 8, 2006
- Last Updated
- Sep 20, 2013
Practice Location
- Address
- 15250 LAKESHORE DR STE C
- City
- Clearlake
- State
- California
- ZIP Code
- 95422-8107
- Phone
- (707) 995-7077
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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