Park, Juliana Youngmin
Park, Juliana Youngmin is an individual health care provider with primary practice located at 3020 Hamaker Ct Suite B-103, Fairfax VA 22031-2238. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Park, Juliana Youngmin can be contacted via phone (703) 573-9688.Contact Information
Primary practice address
3020 Hamaker Ct Suite B-103
Fairfax VA 22031-2238
Phone: (703) 573-9688
Fax: (703) 207-9396
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 010154277 | Virginia |
Profile Details
| NPI number | 1790864940 |
|---|---|
| LBN Legal business name | Park, Juliana Youngmin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Nov 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790864940 | NPPES |
| Virginia | Other | 340868 | ALLIANCE |
| Virginia | Other | 5357721 | ALLIANCE |
| Virginia | Other | F051-0001 | ALLIANCE |
| Virginia | Other | 1031145 | ALLIANCE |
| Virginia | Other | 140964 | ALLIANCE |
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