ELLEN JIWON PARK

LOS ANGELES, CA
NPI1801057732
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: CA  A110668)
Additional Taxonomies207LP3000X Anesthesiology, Pediatric Anesthesiology
(Licence: CA  A110668)
207R00000X Internal Medicine
(Licence: MA  236820)
Enumeration Date2008-06-23
Last Update Date2017-11-07
Business Address
ELLEN JIWON PARK MD
1500 SAN PABLO ST 4TH FLOOR ANES
LOS ANGELES, CA 90033-5313
Phone number: 323-442-7400
Mailing Address
ELLEN JIWON PARK MD
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-7400