Park, Che Song
Park, Che Song is an individual health care provider with primary practice located at 3500 Barranca Pkwy Suite 330, Irvine CA 92606-8226. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Park, Che Song can be contacted via phone (949) 552-8217.Contact Information
Primary practice address
3500 Barranca Pkwy Suite 330
Irvine CA 92606-8226
Phone: (949) 552-8217
Fax: (949) 809-9514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Legal Medicine | 173000000X | 4301031253 | Michigan |
Profile Details
| NPI number | 1316058076 |
|---|---|
| LBN Legal business name | Park, Che Song |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Feb 24th, 2011 - about 14 years ago |
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 | 1316058076 | NPPES |
| Michigan | Other | 280739862 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 2898621 | BLUE CROSS BLUE SHIELD |
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