Individual provider · Type 1 NPI

Jinsu Park

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

NPI number 1982159091 Active

Practice location

3030 Antietam Ct
Marina, CA 93933-4901

Call (831) 917-8379 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 1982159091

Jinsu Park's National Provider Identifier is 1982159091, issued on Aug 18, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marina, CA. The record was last updated on Aug 18, 2016.