Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONGSOOK SUSIE PARK, MD
ActiveDR. JONGSOOK SUSIE PARK, MD is a Gynecology healthcare provider located in GARDEN GROVE, California. NPI 1821052630 is currently active in the NPPES registry. Verify at CMS.
Gynecology · GARDEN GROVE, CA
Registration Details
- NPI Number
- 1821052630
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2006 (20.360949067396 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C41515 (CA)
Practice Information
- Address
-
12665 GARDEN GROVE BLVD #505GARDEN GROVE, CA, 92843Browse CA providers · Browse ZIP 92843
- Phone
- 7145342110
- Fax
- 7145341155
- Primary Specialty
-
Gynecology
207VG0400X
Other Gynecology Providers in GARDEN GROVE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. BAN DUC DOAN | M.D | 1346201696 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.