Park, Mi Ran

Park, Mi Ran is an sole proprietor health care provider with primary practice located at 5150 Graves Ave. Suite 11B, San Jose CA 95129-5014. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Park, Mi Ran can be contacted via phone (408) 293-0800.

Contact Information

Primary practice address
5150 Graves Ave. Suite 11B San Jose CA 95129-5014
Phone: (408) 293-0800
Fax: (408) 293-0801
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A103558 California
Ambulatory Health Care Facilities / Primary Care 261QP2300X A103558 California

Profile Details

NPI number 1992929616
LBN Legal business name Park, Mi Ran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2007
Last updated Nov 21st, 2013 - about 12 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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