Park, Sook Ja

Park, Sook Ja is an individual health care provider with primary practice located at 15381 7Th St , Victorville CA 92395-3803. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Park, Sook Ja can be contacted via phone (760) 245-2380.

Contact Information

Primary practice address
15381 7Th St Victorville CA 92395-3803
Fax: (760) 245-2584
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 10478 California

Profile Details

NPI number 1184682999
LBN Legal business name Park, Sook Ja
Credentials FNP-BC, ANP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Feb 14th, 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.

Request for update

Popular Providers