| | Physician Last Name: | Park |
| | Physician First Name: | Jangwon |
| | Physician Middle Name: | |
| | Address: | 13095 Casa Linda Lane
Apartment B
Garden Grove, California 92844 |
| | License Number: | 137329 |
| | License Type: | MD |
| | Year of Birth: |
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| | Effective Date: | 09/19/1997 |
| | Action Description for DOH Webpage: | License surrender |
| | Misconduct Description for DOH Webpage: | The physician admitted to having been disciplined by the Medical State Board of California and having pled guilty in the United States District Court, Central District of California to subscribing to false income tax returns. |
| | License Limitations or Conditions for DOH Webpage: | |
| | Board Order: |
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