Kwang Soo Park is a Psychiatry in Los Angeles, California. Kwang Soo Park practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kwang Soo Park is 1942385471. The last update date is 2007-07-08.
Kwang Soo Park's current location address is 1224 Vine St, Los Angeles, California. You can contact this provider via phone number 3237696100 and fax number 3234670297. The mailing address for Kwang Soo Park is 1224 Vine St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kwang Soo Park |
|---|---|
| Address | 1224 Vine St, Los Angeles, California |
| Phone Number | 3237696100 |
| Fax Number | 3234670297 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942385471 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1224 Vine St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900381612 |
| Phone Number | 3237696100 |
| Fax Number | 3234670297 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | A37469 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique identifier code issued to Kwang Soo Park by the Centers for Medicare & Medicaid Services?
The Kwang Soo Park has been assigned the NPI (National Provider Identifier) 1942385471. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kwang Soo Park's facilities are situated?
The facilities of Kwang Soo Park are physically located at the following address: 1224 Vine St, Los Angeles, CA, 900381612.
What is Kwang Soo Park's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kwang Soo Park is Psychiatry, and the taxonomy code that classifies this field of practice is 2084P0800X.
On what date did Kwang Soo Park receive its 1942385471 assignment from the Centers for Medicare & Medicaid Services?
The Kwang Soo Park was assigned its 1942385471 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kwang Soo Park's details last updated?
The information pertaining to the Kwang Soo Park, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN