JAESOO PAK, MD MEDICAL CLINIC,INC.
NPI 1912187196
Clinic/Center in Cerrtios, CA

Active since November 06, 2007
11845 SOUTH STREET, CERRTIOS, CA 90703(562) 809-2103 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jaesoo Pak, Md Medical Clinic,inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAESOO PAK, MD MEDICAL CLINIC,INC. (NPI 1912187196) is a healthcare organization registered as a clinic/center in Cerrtios, California and active in the NPI registry since November 2007. The organization lists Jaesoo Pak, President, as its authorized official.

NPPES Registry Identity

NPI1912187196
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameJAESOO PAK, MD MEDICAL CLINIC,INC.
Location Address11845 SOUTH STREETCerrtios, CA 90703-6825
Mailing Address11845 South StreetCerrtios, CA 90703-6825 · (562) 809-2103
Organization SubpartNo
Authorized OfficialJaesoo PakPresident · (562) 809-2103
Enumeration DateNovember 6, 2007
NPI 1912187196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
11845 SOUTH STREET, Cerrtios, CA 90703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaesoo Pak, MD Medical Clinic,inc.'s NPI number?

The NPI number for Jaesoo Pak, MD Medical Clinic,inc. is 1912187196. It was assigned to this organization in the NPPES registry on November 6, 2007.

Where is Jaesoo Pak, MD Medical Clinic,inc. located?

Jaesoo Pak, MD Medical Clinic,inc. is located at 11845 South Street, Cerrtios, CA 90703. The listed phone number is (562) 809-2103.

What is Jaesoo Pak, MD Medical Clinic,inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Jaesoo Pak, MD Medical Clinic,inc. was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.