Individual provider · Type 1 NPI

Jennifer Eun Kyong Park, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1740817642 Active

Practice location

10833 Le Conte Ave # CHS27139
Los Angeles, CA 90095-3075

Call (310) 825-9945 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 1740817642

Jennifer Eun Kyong Park, MD's National Provider Identifier is 1740817642, issued on Mar 23, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 23, 2020.