Provider Demographics
NPI:1073192100
Name:PAK, JOSEPH SIK (OD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SIK
Last Name:PAK
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16162 SINGING HILLS DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3363
Mailing Address - Country:US
Mailing Address - Phone:760-666-0790
Mailing Address - Fax:
Practice Address - Street 1:6850 LINCOLN AVE STE 204
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-4180
Practice Address - Country:US
Practice Address - Phone:714-927-5192
Practice Address - Fax:253-252-8801
Is Sole Proprietor?:No
Enumeration Date:2021-04-06
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT34773TLG152W00000X
CA34773152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist