Park, Haeli

Park, Haeli is an individual health care provider with primary practice located at 975 S Fairmont Ave , Lodi CA 95240-5118. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Park, Haeli can be contacted via phone (209) 339-7639.

Contact Information

Primary practice address
975 S Fairmont Ave Lodi CA 95240-5118
Phone: (209) 339-7639
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A163831 California

Profile Details

NPI number 1114422631
LBN Legal business name Park, Haeli
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2018
Last updated Aug 1st, 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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