Individual provider · Type 1 NPI
Jongsook Susie Park, MD
Gynecology Physician · Garden Grove, CA
NPI number
1821052630
Active
Practice location
12665 Garden Grove Blvd #505
Garden Grove, CA 92843
Fax (714) 534-1155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | C41515 (CA) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
Other gynecology physician providers in Garden Grove
About NPI 1821052630
Jongsook Susie Park, MD's National Provider Identifier is 1821052630, issued on Apr 17, 2006. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Garden Grove, CA. The record was last updated on Jul 13, 2026.