Park, Jin Hewa

Park, Jin Hewa is an individual health care provider with primary practice located at 250 W San Jose Ave , Claremont CA 91711-5207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, Jin Hewa can be contacted via phone (909) 399-2063.

Contact Information

Primary practice address
250 W San Jose Ave Claremont CA 91711-5207
Phone: (909) 399-2063
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6738 California

Profile Details

NPI number 1992800353
LBN Legal business name Park, Jin Hewa
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Dec 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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Identifiers

StateTypeNumberIssuer
All States NPI 1992800353 NPPES
California MEDICAID FHC11584G

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