Individual provider · Type 1 NPI

Soo Hwan Park

Student in an Organized Health Care Education/Training Program · San Francisco, CA

NPI number 1114775319 Active

Practice location

1101 Van Ness Ave # 1120
San Francisco, CA 94109-6919

Call (415) 600-3954 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114775319

Soo Hwan Park's National Provider Identifier is 1114775319, issued on May 11, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Francisco, CA. The record was last updated on Apr 29, 2025.