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1780974212
SHAUN PARK
LOMA LINDA, CA
NPI
1780974212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A122388)
Enumeration Date
2011-04-18
Last Update Date
2023-01-13
Business Address
-- SHAUN PARK M.D.
11175 CAMPUS ST CP-A1121
LOMA LINDA, CA 92350-1700
Phone number: 909-558-8142
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Mailing Address
-- SHAUN PARK M.D.
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3311
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