SUNYOUNG PARK, LAC.
Physician Assistant
Active
Individual
NPI: 1114080801
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Acupuncturist | 171100000X | No | 11452 (CA) |
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1114080801 is the National Provider Identifier for SUNYOUNG PARK, LAC., a Physician Assistant provider located in Rancho Cucamonga, CA. This NPI was enumerated on December 18, 2006.
SUNYOUNG PARK, LAC. practices at 10801 FOOTHILL BLVD. # 104, Rancho Cucamonga, CA 91730.
Quick Facts
- NPI
- 1114080801
- Type
- Individual
- Enumerated
- Dec 18, 2006
- Last Updated
- Jan 11, 2021
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