Kim, Janice Park

Kim, Janice Park is an individual health care provider with primary practice located at 435 Arden Ave #435, Glendale CA 91203-1130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Kim, Janice Park can be contacted via phone (818) 246-4936.

Contact Information

Primary practice address
435 Arden Ave #435 Glendale CA 91203-1130
Phone: (818) 246-4936
Fax: (818) 246-4937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G70428 California

Profile Details

NPI number 1225057888
LBN Legal business name Kim, Janice Park
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 7th, 2023 - about 3 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 1225057888 NPPES
California Other G70428 CA LINCENSE

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