JONATHAN KEON PARK

LOS ANGELES, CA
NPI1720215486
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: IL  125.056740)
Enumeration Date2009-06-19
Last Update Date2017-02-06
Business Address
-- JONATHAN KEON PARK
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711
Mailing Address
-- JONATHAN KEON PARK
11301 WILSHIRE BLVD
LOS ANGELES, CA 90073-1003
Phone number: 310-478-3711