Jaesoo Pak, Md Medical Clinic,Inc. in Cerrtios - Clinic/center
Jaesoo Pak, Md Medical Clinic,Inc. - NPI 1912187196
Jaesoo Pak, Md Medical Clinic,Inc. is a Clinic/center in Cerrtios, California. Jaesoo Pak, Md Medical Clinic,Inc. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Jaesoo Pak, Md Medical Clinic,Inc. is 1912187196. The last update date is 2007-11-06.
Jaesoo Pak, Md Medical Clinic,Inc.'s current location address is 11845 South Street, Cerrtios, California. You can contact this provider via phone number 5628092103. The mailing address for Jaesoo Pak, Md Medical Clinic,Inc. is 11845 South Street, Cerrtios, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jaesoo Pak, Md Medical Clinic,Inc. |
|---|---|
| Address | 11845 South Street, Cerrtios, California |
| Phone Number | 5628092103 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pak Jaesoo |
| Credentials | M.D. |
| Telephone Number | 5628092103 |
NPI Number Detail
| NPI Number | 1912187196 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-06 |
Provider Mailing Address Detail
| Address | 11845 South Street |
|---|---|
| City | Cerrtios |
| State | California (CA) |
| Post Code | 907036825 |
| Phone Number | 5628092103 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique identifier code issued to Jaesoo Pak, Md Medical Clinic,Inc. by the Centers for Medicare & Medicaid Services?
The Jaesoo Pak, Md Medical Clinic,Inc. has been assigned the NPI (National Provider Identifier) 1912187196. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jaesoo Pak, Md Medical Clinic,Inc.'s physical address?
The Jaesoo Pak, Md Medical Clinic,Inc. is physically located at 11845 South Street, in the city of Cerrtios, CA, with the postal code 907036825.
What is Jaesoo Pak, Md Medical Clinic,Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jaesoo Pak, Md Medical Clinic,Inc. is Clinic/center, and the corresponding taxonomy classification code for this specialized field is 261Q00000X.
On what date did Jaesoo Pak, Md Medical Clinic,Inc. receive its 1912187196 assignment from the Centers for Medicare & Medicaid Services?
The Jaesoo Pak, Md Medical Clinic,Inc. was assigned its 1912187196 on 2007-11-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jaesoo Pak, Md Medical Clinic,Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jaesoo Pak, Md Medical Clinic,Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-06.