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Organization

PATRICK T. PARK M D INC

Active
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Organization

PATRICK T. PARK M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HELEN H PARK (OFFICE MANAGER)
(213) 739-1025
Entity
Organization

Contact information

Practice address
266 S HARVARD BLVD STE 320, LOS ANGELES, CA 90004-4373
(213) 739-1025
(213) 739-9936
Mailing address
266 S HARVARD BLVD STE 320, LOS ANGELES, CA 90004-4373
(213) 739-1025
(213) 739-9936

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G76980
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G769800
CA
Enumeration date
02/27/2009
Last updated
12/06/2022
About Stedi
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  • EDI platform