Park, Hyung Soon

Park, Hyung Soon is an individual health care provider with primary practice located at 2296 Opitz Blvd Suite 255, Woodbridge VA 22191. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Park, Hyung Soon can be contacted via phone (703) 670-4986.

Contact Information

Primary practice address
2296 Opitz Blvd Suite 255 Woodbridge VA 22191
Fax: (703) 590-7335
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101022341 Virginia

Profile Details

NPI number 1669554267
LBN Legal business name Park, Hyung Soon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669554267 NPPES
Virginia MEDICAID 7146809

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