Type 1 individualNPI 1003462722
CAITLYN JEEIN PARK
363LF0000X · BUENA PARK, CA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 363LF0000X | 363LF0000X | Primary |
| 163WC0200X | 163WC0200X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s