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1265788616
PETER YONGSUNG PARK
LOS ANGELES, CA
NPI
1265788616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-08-02
Last Update Date
2017-06-20
Business Address
-- PETER YONGSUNG PARK MSW
1665 W ADAMS BLVD
LOS ANGELES, CA 90007-1533
Phone number: 909-348-2035
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Mailing Address
-- PETER YONGSUNG PARK MSW
1665 W ADAMS BLVD
LOS ANGELES, CA 90007-1533
Phone number: 909-348-2030
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