Park, Jacqueline Jeeyung

Park, Jacqueline Jeeyung is an individual health care provider with primary practice located at 2089 Vale Rd Suite 33, San Pablo CA 94806-3847. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Park, Jacqueline Jeeyung can be contacted via phone (510) 234-5012.

Contact Information

Primary practice address
2089 Vale Rd Suite 33 San Pablo CA 94806-3847
Phone: (510) 234-5012
Fax: (510) 234-4921
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 234855-1 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X A 109036 California

Profile Details

NPI number 1346415247
LBN Legal business name Park, Jacqueline Jeeyung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Dec 15th, 2021 - about 5 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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