Jaesoo Pak is a Gastroenterology in Cerritos, California. Jaesoo Pak practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Jaesoo Pak is 1023124054. The last update date is 2007-07-09.
Jaesoo Pak's current location address is 11841 South St, Cerritos, California. You can contact this provider via phone number 5628098082. The mailing address for Jaesoo Pak is 11841 South St, Cerritos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jaesoo Pak |
|---|---|
| Address | 11841 South St, Cerritos, California |
| Phone Number | 5628098082 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023124054 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11841 South St |
|---|---|
| City | Cerritos |
| State | California (CA) |
| Post Code | 907036825 |
| Phone Number | 5628098082 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Gastroenterology |
|---|---|
| Taxonomy | 207Rg0100X |
| Licence No | G77845 |
|
Definition: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G77845 | CA | MEDICAL LICENSE NUMBER | |
| 00G077845 | CA | -- |
Post Comment/ Review Below
What is the Jaesoo Pak's unique identification number?
The Jaesoo Pak has been assigned the NPI (National Provider Identifier) Number 1023124054 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Jaesoo Pak is physically located?
The Jaesoo Pak is physically situated at the following address: 11841 South St, Cerritos, CA, 907036825.
What is the Jaesoo Pak's area of specialization and corresponding taxonomy classification?
The Jaesoo Pak's specialty field is Gastroenterology, and it falls under the taxonomy code 207Rg0100X, which categorizes healthcare providers based on their specialties.
When was the Jaesoo Pak's 1023124054 issued?
The Jaesoo Pak's 1023124054 was issued on 2006-08-22.
When was the information regarding Jaesoo Pak most recently updated?
The details pertaining to the Jaesoo Pak, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
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