Park, Grace Jiyoung
Park, Grace Jiyoung is an individual health care provider with primary practice located at 15446 S Western Ave Southern California Permanente Medical Group, Gardena CA 90249-4319. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Park, Grace Jiyoung can be contacted via phone (310) 965-4821.Contact Information
Primary practice address
15446 S Western Ave Southern California Permanente Medical Group
Gardena CA 90249-4319
Phone: (310) 965-4821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A10562 | California |
Profile Details
| NPI number | 1164677464 |
|---|---|
| LBN Legal business name | Park, Grace Jiyoung |
| Credentials | D.O. , MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2008 |
| Last updated | Dec 6th, 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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