SE J PARK

IRVINE, CA
NPI1871031518
Other NameANDREW PARK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: CA  95023379)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: CA  95023379)
363L00000X Nurse Practitioner
(Licence: GA  RN243386)
363LG0600X Nurse Practitioner, Gerontology
(Licence: GA  RN243386)
Enumeration Date2017-02-02
Last Update Date2025-08-27
Business Address
SE J PARK NP-C, DNP
1000 FIVEPOINT
IRVINE, CA 92618-2377
Phone number: 800-826-4673
Mailing Address
SE J PARK NP-C, DNP
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone number: