| Jaesoo Pak, Md Medical Clinic,inc. | |
|
11845 South Street Cerrtios CA 90703-6825 | |
| (562) 809-2103 | |
| Not Available |
| Full Name | Jaesoo Pak, Md Medical Clinic,inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 11845 South Street, Cerrtios, California |
| Authorized Official Name and Position | Jaesoo Pak (PRESIDENT) |
| Authorized Official Contact | 5628092103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaesoo Pak, Md Medical Clinic,inc. 11845 South Street Cerrtios CA 90703-6825 Ph: (562) 809-2103 | Jaesoo Pak, Md Medical Clinic,inc. 11845 South Street Cerrtios CA 90703-6825 Ph: (562) 809-2103 |
| NPI Number | 1912187196 |
|---|---|
| Provider Enumeration Date | 11/06/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912187196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |