Individual provider · Type 1 NPI
Susan Yooshin Park, MD
Diagnostic Radiology Physician · Newport Coast, CA
NPI number
1467668772
Active
Practice location
8 Calais
Newport Coast, CA 92657-1055
Fax (612) 294-4903
Mailing address
11995 Singletree Ln, Suite 500
Eden Prairie, MN 55344-5347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | A94505 (CA) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
About NPI 1467668772
Susan Yooshin Park, MD's National Provider Identifier is 1467668772, issued on May 15, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Newport Coast, CA. The record was last updated on Jan 6, 2017.