JUSTIN JONG-GENE PARK

IRVINE, CA
NPI1255034534
Former NameJONG-GENE PARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
JUSTIN JONG-GENE PARK MD
71 HOMELAND
IRVINE, CA 92618-8801
Phone number: 949-680-6284
Mailing Address
JUSTIN JONG-GENE PARK MD
71 HOMELAND
IRVINE, CA 92618-8801
Phone number: