Organization · Type 2 NPI
Lydia Somi Park, M.d., P.c.
Clinic/Center · San Diego, CA
NPI number
1760122261
Active
Practice location
402 W Broadway Fl 21
San Diego, CA 92101-8574
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1760122261
Lydia Somi Park, M.d., P.c.'s National Provider Identifier is 1760122261, issued on Mar 31, 2022. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 31, 2022.