Yong J Park O.D.

NPI 1205984317 - Optometrist - 152W00000X

NPI Details
NPI 1205984317
Gender Male
Enumeration Date 01/08/2007
Last Updated 01/28/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
2609 FOOTHILL BLVD
LA CRESCENTA CA, 91214-3511, US
Phone (818) 541-0370
Fax (818) 541-0376
Business Location
2609 FOOTHILL BLVD
LA CRESCENTA CA, 91214-3511, US
Phone (818) 541-0370
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 12228T
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According to our database, Dr. Yong J Park O.D. NPI is 1205984317, taxonomy code is 152W00000X and license number is 12228T, license state is located at California. Yong J Park O.D. physically located at 2609 Foothill Blvd, La Crescenta CA, 91214-3511. NPI Number Yong J Park O.D. has the Individual type.

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1205984317 NPI number is provided on an as is basis without warranty of any kind. 1205984317 is maintained by the National Plan & Provider Enumeration System. The contents of Yong J Park O.D. are for informational purposes only.