Park, John Bansuk
Park, John Bansuk is an sole proprietor health care provider with primary practice located at 20200 Bloomfield Ave , Cerritos CA 90703-7821. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, John Bansuk can be contacted via phone (562) 274-0062.Contact Information
Primary practice address
20200 Bloomfield Ave
Cerritos CA 90703-7821
Phone: (562) 274-0062
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 65907 | California |
Profile Details
| NPI number | 1619258100 |
|---|---|
| LBN Legal business name | Park, John Bansuk |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2011 |
| Last updated | Aug 29th, 2011 - about 14 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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