Park, Jongsoo
Park, Jongsoo is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Park, Jongsoo can be contacted via phone (650) 498-6971.Contact Information
Primary practice address
300 Pasteur Dr
Stanford CA 94305-2200
Phone: (650) 498-6971
Fax: (650) 724-0220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G85314 | California |
Profile Details
| NPI number | 1982759668 |
|---|---|
| LBN Legal business name | Park, Jongsoo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Apr 26th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982759668 | NPPES |
| California | MEDICAID | 00G853140 |
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