Individual provider · Type 1 NPI
Sook Ja Park, FNP-BC, ANP-BC
Family Nurse Practitioner · Victorville, CA
NPI number
1184682999
Active
Practice location
15381 7th St
Victorville, CA 92395-3803
Fax (760) 245-2584
Mailing address
3852 Yellowstone Cir
Chino, CA 91710-5623
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 10478 (CA) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1184682999
Sook Ja Park, FNP-BC, ANP-BC's National Provider Identifier is 1184682999, issued on May 2, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Victorville, CA. The record was last updated on Feb 14, 2011.