| Lydia Somi Park, M.d., P.c. | |
|
402 W Broadway Fl 21 San Diego CA 92101-8574 | |
| (877) 222-4090 | |
| Not Available |
| Full Name | Lydia Somi Park, M.d., P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 402 W Broadway Fl 21, San Diego, California |
| Authorized Official Name and Position | Lydia Somi Park (CEO) |
| Authorized Official Contact | 8772224090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lydia Somi Park, M.d., P.c. 402 W Broadway Fl 21 San Diego CA 92101-8574 Ph: () - | Lydia Somi Park, M.d., P.c. 402 W Broadway Fl 21 San Diego CA 92101-8574 Ph: (877) 222-4090 |
| NPI Number | 1760122261 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760122261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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