Kim, Janice Park
Kim, Janice Park is an individual health care provider with primary practice located at 435 Arden Ave #435, Glendale CA 91203-1130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kim, Janice Park can be contacted via phone (818) 246-4936.Contact Information
Primary practice address
435 Arden Ave #435
Glendale CA 91203-1130
Phone: (818) 246-4936
Fax: (818) 246-4937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G70428 | California |
Profile Details
| NPI number | 1225057888 |
|---|---|
| LBN Legal business name | Kim, Janice Park |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225057888 | NPPES |
| California | Other | G70428 | CA LINCENSE |
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