Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A81890 | CA |
NPI | 1053590315 |
---|---|
Provider Name | Dr. Mihwa Cindy Pak |
First Address | Los Angeles, CA 90025-5716 |
Second Address | Los Angeles, CA 90034-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2007 |
Last Update Date | 01/12/2021 |