Park, Taikeun
Park, Taikeun is an individual health care provider with primary practice located at 251 Landis Avenue , Chula Vista CA 91910-9578. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Park, Taikeun can be contacted via phone (619) 515-2500.Contact Information
Primary practice address
251 Landis Avenue
Chula Vista CA 91910-9578
Phone: (619) 515-2500
Fax: (619) 934-9578
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C51444 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C51444 | California |
Profile Details
| NPI number | 1831175918 |
|---|---|
| LBN Legal business name | Park, Taikeun |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 20th, 2005 |
| Last updated | Mar 23rd, 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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