JOHN PARK

SANTA CLARA, CA
NPI1417503830
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OT019677)
Enumeration Date2019-08-12
Last Update Date2024-01-11
Business Address
JOHN PARK
710 LAWRENCE EXPY
SANTA CLARA, CA 95051-5173
Phone number: 781-879-9774
Mailing Address
JOHN PARK
710 LAWRENCE EXPY DEPT 472
SANTA CLARA, CA 95051-5173
Phone number: 408-554-9800