Dr Joe W Park, DC, CCSP | |
100 Copper Mine, Irvine, CA 92602-0202 | |
(949) 701-8250 | |
Not Available |
Full Name | Dr Joe W Park |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 100 Copper Mine, Irvine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790734572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 29675 (California) | Secondary |
111N00000X | Chiropractor | DC29675 (California) | Primary |
Provider Name | Korean Community Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437 |
Mailing Address | Practice Location Address |
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Dr Joe W Park, DC, CCSP 100 Copper Mine, Irvine, CA 92602-0202 Ph: (949) 701-8250 | Dr Joe W Park, DC, CCSP 100 Copper Mine, Irvine, CA 92602-0202 Ph: (949) 701-8250 |
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