| Michelle Jo Park, Md, Inc. | |
|
4199 Campus Dr Suite 550 Irvine CA 92612-4684 | |
| (949) 864-6784 | |
| Not Available |
| Full Name | Michelle Jo Park, Md, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4199 Campus Dr, Irvine, California |
| Authorized Official Name and Position | Michelle Park (CEO) |
| Authorized Official Contact | 9498646784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Jo Park, Md, Inc. 4199 Campus Dr Suite 550 Irvine CA 92612-4684 Ph: () - | Michelle Jo Park, Md, Inc. 4199 Campus Dr Suite 550 Irvine CA 92612-4684 Ph: (949) 864-6784 |
| NPI Number | 1740677111 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 04/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740677111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A106354 (California) | Primary |
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