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General NPI Number Information
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NPI Number | 1518810365
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Entity Type | Organization
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Legal Business Name | YOON PAK MEDICAL CLINIC
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 11843 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-6825
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Country | US
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Telephone | 562-809-8082
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Fax | 562-809-3893
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Provider Business Mailing Address
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Address Line | 11843 SOUTH ST
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City | CERRITOS
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State | CA
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Zip | 90703-6825
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Country | US
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Telephone | 562-809-8082
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Fax | 562-809-3893
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. YOON SUK PAK
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Credential | MD
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Telephone | 562-809-8082
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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