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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAESOO PAK, MD

Active Organization

JAESOO PAK, MD is a Endoscopy Lab organization located in CERRITOS, California. NPI 1366633257 is currently active in the NPPES registry. Verify at CMS.

Endoscopy Lab · CERRITOS, CA

Registration Details

NPI Number
1366633257
Provider Type
Organization
NPI Issued
Aug 6, 2007 (19.010344118241 yrs)
Last Updated
Jun 19, 2008
License
05-C0001451 (CA)

Practice Information

Address
11845 SOUTH ST
CERRITOS, CA, 907036825
Browse CA providers · Browse ZIP 90703
Phone
5628092103
Primary Specialty
Endoscopy Lab
261QE0800X
Additional Specialty
Endoscopy Lab
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.