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Organization
ESTHER PARK, D.O., LLC
Active
Organization
ESTHER PARK, D.O., LLC
Active
Other names
Park Psychiatry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KIM (OFFICE MANAGER)
(949) 258-3741
Entity
Organization
Contact information
Practice address
1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
(949) 258-3741
(949) 258-3742
Mailing address
1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
(949) 258-3741
(949) 258-3742
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A7734
CA
Other
Enumeration date
01/10/2008
Last updated
01/03/2012
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