Park, Sung Ho
Park, Sung Ho is an sole proprietor health care provider with primary practice located at 1415 Ross Ave , El Centro CA 92243-4306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Park, Sung Ho can be contacted via phone (951) 929-6260.Contact Information
Primary practice address
1415 Ross Ave
El Centro CA 92243-4306
Phone: (951) 929-6260
Fax: (951) 765-2855
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 20A7204 | California |
Profile Details
| NPI number | 1801962592 |
|---|---|
| LBN Legal business name | Park, Sung Ho |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Feb 14th, 2022 - about 4 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 | 1801962592 | NPPES |
| California | MEDICAID | 00AX72040 |
Popular Providers
-
Kinnan, Kenneth
1415 Ross Ave , El Centro CA 92243-4306 -
Myint, Ma Aye
1701 Santa Anita Ave , South El Monte CA 91733-3482 -
Wu, David
400 Continental Blvd # 6144 , El Segundo CA 90245-5076 -
Ticho, Simon
1415 Ross Ave , El Centro CA 92243-4306 -
Barnes, Deloris Yvette
1415 Ross Ave , El Centro CA 92243-4306 -
Demarino, John W
1901 Tate Springs Rd , Lynchburg VA 24501-1109 -
Taylor, Jamie Latiolais
2040 E Mariposa Ave , El Segundo CA 90245 -
Gupta, Usha
1701 Santa Anita Ave , South El Monte CA 91733-3411