Park, Eun Kyung
Park, Eun Kyung is an individual health care provider with primary practice located at 209 W Alameda Ave Ste 101 , Burbank CA 91502-3023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Park, Eun Kyung can be contacted via phone (866) 227-3310.Contact Information
Primary practice address
209 W Alameda Ave Ste 101
Burbank CA 91502-3023
Phone: (866) 227-3310
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95007780 | California |
Profile Details
| NPI number | 1194226936 |
|---|---|
| LBN Legal business name | Park, Eun Kyung |
| Credentials | Gerontological Nurse Practitioner (GNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 2018 |
| Last updated | Jun 16th, 2018 - about 8 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 | 1194226936 | NPPES |
| California | Other | 95007780 | CALIFORNIA BOARD OF NURSING |
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