Park, Johnny

Park, Johnny is an individual health care provider with primary practice located at 1058 S Vermont Ave Suite 109, Los Angeles CA 90006-2721. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Park, Johnny can be contacted via phone (213) 368-6300.

Contact Information

Primary practice address
1058 S Vermont Ave Suite 109 Los Angeles CA 90006-2721
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 7708 California

Profile Details

NPI number 1396015152
LBN Legal business name Park, Johnny
Credentials HAD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Feb 2nd, 2012 - about 13 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 1396015152 NPPES
California Other 7708 HEARING AID DISPENSER

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