Individual provider · Type 1 NPI

Jung Ho Park

Physiological Laboratory · Los Angeles, CA

NPI number 1649588906 Active

Practice location

11301 Wilshire Blvd
Los Angeles, CA 90073-1003

Mailing address

1350 Midvale Ave Apt 120
Los Angeles, CA 90024-6340

Specialties and licenses

TaxonomyCodeLicense
Physiological Laboratory Primary 293D00000XNone listed

Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…

1,116 other providers at this address

About NPI 1649588906

Jung Ho Park's National Provider Identifier is 1649588906, issued on Sep 21, 2010. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 21, 2010.