Jeong Sik Park MD a Prof Corp
Jeong Sik Park MD a Prof Corp provides Specialist services in Clearlake, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15250 Lakeshore Dr Ste CClearlake, CA 95422-8107 Not confirmed with CMS for 18 years — call before visiting
Phone: (707) 995-7077
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence A45408 (CA) |
|---|
Record details
| NPI number | 1558524306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Colleen Bradrick — Medical Biller · (707) 994-8818 |
| NPI enumerated | July 2, 2008 |
| Last updated in NPPES | July 2, 2008 |
| Mailing address | Po Box 6017, Clearlake, CA 95422-6017 |
Other providers in Clearlake
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Wendy Gattoni
7000B S Center Dr, Clearlake, CA 95422-8458 · (707) 533-5829
-
Lake Silverado Cardiovascular Consultants
15250 Lakeshore Dr Ste C, Clearlake, CA 95422-8107 · (707) 995-7077
-
Jeong Sik Park, MD
15250 Lakeshore Dr Ste C, Clearlake, CA 95422-8107 · (707) 995-7077
-
St Helena OB/GYN Clinic
15322 Lakeshore Dr Ste 102, Clearlake, CA 95422-9814 · (707) 995-0193