Park, Jenny Y

Park, Jenny Y is an individual health care provider with primary practice located at 30606 Santa Margarita Pkwy Ste A103 , Rancho Santa Margarita CA 92688-4500. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Park, Jenny Y can be contacted via phone (949) 658-2670.

Contact Information

Primary practice address
30606 Santa Margarita Pkwy Ste A103 Rancho Santa Margarita CA 92688-4500
Phone: (949) 658-2670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010147 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 14361 California

Profile Details

NPI number 1669624052
LBN Legal business name Park, Jenny Y
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Jun 19th, 2024 - about 2 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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