JENNIFER LYNNE PARK

SAN DIEGO, CA
NPI1770875965
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  20A21312)
Additional Taxonomies207R00000X Internal Medicine
(Licence: WI  60566)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: WI  60566)
Enumeration Date2011-05-06
Last Update Date2023-08-10
Business Address
JENNIFER LYNNE PARK D.O.
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-554-7272
Mailing Address
JENNIFER LYNNE PARK D.O.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-7272