Su Yong Pak,m.d. Inc | |
5451 La Palma Ave 14 La Palma CA 90623-1728 | |
(714) 523-3212 | |
Not Available |
Full Name | Su Yong Pak,m.d. Inc |
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Speciality | Internal Medicine |
Location | 5451 La Palma Ave, La Palma, California |
Authorized Official Name and Position | Su Yong Pak (M.D.) |
Authorized Official Contact | 7145233212 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Su Yong Pak,m.d. Inc 5451 La Palma Ave 14 La Palma CA 90623-1728 Ph: (714) 523-3212 | Su Yong Pak,m.d. Inc 5451 La Palma Ave 14 La Palma CA 90623-1728 Ph: (714) 523-3212 |
NPI Number | 1942375506 |
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Provider Enumeration Date | 11/21/2006 |
Last Update Date | 02/07/2008 |
Medicare PECOS PAC ID | 7719932805 |
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Medicare Enrollment ID | O20050322000698 |
Identifier | Type | State | Issuer |
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1942375506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0100X | Internal Medicine - Gastroenterology | A34079 (California) | Primary |
Provider Name | Su-yong Pak |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437169372 PECOS PAC ID: 2062408602 Enrollment ID: I20050322000701 |
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