Park, Ellen Sae Eun

Park, Ellen Sae Eun is an sole proprietor health care provider with primary practice located at 6900 Lincoln Ave , Buena Park CA 90620-4148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Park, Ellen Sae Eun can be contacted via phone (714) 522-4009.

Contact Information

Primary practice address
6900 Lincoln Ave Buena Park CA 90620-4148
Phone: (714) 522-4009
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 95005023 California

Profile Details

NPI number 1922559442
LBN Legal business name Park, Ellen Sae Eun
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2016
Last updated Apr 23rd, 2021 - about 3 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.

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