JU AN PARK

LOMA LINDA, CA
NPI1710673009
Other NameETHAN PARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-04-11
Last Update Date2023-04-19
Business Address
JU AN PARK MD
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6202
Mailing Address
JU AN PARK MD
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: