Jaesoo Pak, Md Medical Clinic,inc. | |
11845 South Street Cerrtios CA 90703-6825 | |
(562) 809-2103 | |
Not Available |
Full Name | Jaesoo Pak, Md Medical Clinic,inc. |
---|---|
Speciality | Clinic/center |
Location | 11845 South Street, Cerrtios, California |
Authorized Official Name and Position | Jaesoo Pak (PRESIDENT) |
Authorized Official Contact | 5628092103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jaesoo Pak, Md Medical Clinic,inc. 11845 South Street Cerrtios CA 90703-6825 Ph: (562) 809-2103 | Jaesoo Pak, Md Medical Clinic,inc. 11845 South Street Cerrtios CA 90703-6825 Ph: (562) 809-2103 |
NPI Number | 1912187196 |
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Provider Enumeration Date | 11/06/2007 |
Last Update Date | 11/06/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912187196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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