Individual provider · Type 1 NPI

Benjamin Chul Park, MD

Student in an Organized Health Care Education/Training Program · Loma Linda, CA

NPI number 1639861545 Active

Practice location

11234 Anderson St
Loma Linda, CA 92350-1716

Call (909) 558-6131 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X72803 (TN)

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 1639861545

Benjamin Chul Park, MD's National Provider Identifier is 1639861545, issued on May 22, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 30, 2026.