Pak, Eugene
Pak, Eugene is an individual health care provider with primary practice located at 11406 Loma Linda Dr Ste 516 , Loma Linda CA 92354-3711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Pak, Eugene can be contacted via phone (909) 558-6204.Contact Information
Primary practice address
11406 Loma Linda Dr Ste 516
Loma Linda CA 92354-3711
Phone: (909) 558-6204
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD426970 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 239973 | New York |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C138763 | California |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | AM0443173-6259 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pain Medicine | 2084P2900X | C138763 | California |
Profile Details
| NPI number | 1407891658 |
|---|---|
| LBN Legal business name | Pak, Eugene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Jul 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407891658 | NPPES |
| New York | MEDICAID | 02798103 |
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