Park, Ji-Kwan

Park, Ji-Kwan is an sole proprietor health care provider with primary practice located at 1721 Technology Dr Dept 110 , San Jose CA 95110-1305. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Park, Ji-Kwan can be contacted via phone (408) 436-1000.

Contact Information

Primary practice address
1721 Technology Dr Dept 110 San Jose CA 95110-1305
Phone: (408) 436-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X A155176 California
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X 01084888A Indiana
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X A155176 California

Profile Details

NPI number 1619322898
LBN Legal business name Park, Ji-Kwan
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2016
Last updated Aug 14th, 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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