SE J PARK

LAGUNA HILLS, CA
NPI1871031518
Other NameANDREW PARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95023379)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: GA  RN243386)
Enumeration Date2017-02-02
Last Update Date2023-05-09
Business Address
SE J PARK NP-C
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653-7622
Phone number: 949-855-1101
Mailing Address
SE J PARK NP-C
23961 CALLE DE LA MAGDALENA STE 500
LAGUNA HILLS, CA 92653-7622
Phone number: 949-844-5438