Organization · Type 2 NPI
Jaesoo Pak, MD Medical Clinic,inc.
Clinic/Center · Cerrtios, CA
NPI number
1912187196
Active
Practice location
11845 South Street
Cerrtios, CA 90703-6825
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).
About NPI 1912187196
Jaesoo Pak, MD Medical Clinic,inc.'s National Provider Identifier is 1912187196, issued on Nov 6, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Cerrtios, CA. The record was last updated on Nov 6, 2007.