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General NPI Number Information
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NPI Number | 1053590315
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Entity Type | Individual
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Provider Name | MIHWA CINDY PAK MD
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Gender | Female
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Dates
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Enumeration Date | 11/02/2007
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 6041 CADILLAC AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-1702
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Country | US
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Telephone | 323-857-3932
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Fax |
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Provider Business Mailing Address
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Address Line | 2126 CAMDEN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90025-5716
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Country | US
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Telephone | 818-486-9668
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | A81890
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License Number State | CA
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