SUSAN JUNG PARK

FOUNTAIN VALLEY, CA
NPI1114253515
Former NameSUSAN SEUNGWON JUNG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  77563)
Enumeration Date2009-10-20
Last Update Date2010-05-19
Business Address
-- SUSAN JUNG PARK
11420 WARNER AVE
FOUNTAIN VALLEY, CA 92708-2529
Phone number: 714-549-1300
Mailing Address
-- SUSAN JUNG PARK
2742 DOW AVE
TUSTIN, CA 92780-7242
Phone number: 714-665-1600
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