Park, Sue Jean
Park, Sue Jean is an individual health care provider with primary practice located at 11693 San Vicente Blvd # 207 , Los Angeles CA 90049-5105. She recently has only one registered license in Dental Providers / Dentist Anesthesiologist, which is considered as her primary health care specialty. Park, Sue Jean can be contacted via phone (562) 201-2221.Contact Information
Primary practice address
11693 San Vicente Blvd # 207
Los Angeles CA 90049-5105
Phone: (562) 201-2221
Fax: (310) 477-7787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist Anesthesiologist | 1223D0004X | 58385 | California |
Profile Details
| NPI number | 1659600682 |
|---|---|
| LBN Legal business name | Park, Sue Jean |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2009 |
| Last updated | May 22nd, 2013 - about 11 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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