Park, Sung

Park, Sung is an individual health care provider with primary practice located at 10999 Riverside Dr Ste 306 , North Hollywood CA 91602-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, which is considered as his primary health care specialty. Park, Sung can be contacted via phone (818) 824-3702.

Contact Information

Primary practice address
10999 Riverside Dr Ste 306 North Hollywood CA 91602-2239
Phone: (818) 824-3702
Fax: (818) 824-3712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X A51126 California

Profile Details

NPI number 1700537305
LBN Legal business name Park, Sung
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2022
Last updated Jan 14th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700537305 NPPES
California MEDICAID 1992134696

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