Park, Kyoung Jin

Park, Kyoung Jin is an sole proprietor health care provider with primary practice located at 1501 W Main St , El Centro CA 92243-2211. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Park, Kyoung Jin can be contacted via phone (760) 352-5731.

Contact Information

Primary practice address
1501 W Main St El Centro CA 92243-2211
Phone: (760) 352-5731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 64768 California

Profile Details

NPI number 1932412459
LBN Legal business name Park, Kyoung Jin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2010
Last updated Jun 10th, 2014 - about 12 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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