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Organization
WILSON H PARK, M.D.,INC.
Active
Organization
WILSON H PARK, M.D.,INC.
Active
Other names
WILSON H PARK, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
WILSON HO PARK M.D. (PRESIDENT)
(213) 383-4000
Entity
Organization
Contact information
Practice address
3663 W 6TH ST, SUITE 100, LOS ANGELES, CA 90020-3049
(213) 383-4000
(213) 427-5588
Mailing address
3663 W 6TH ST, SUITE 100, LOS ANGELES, CA 90020-3049
(213) 383-4000
(213) 427-5588
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194855627
NPI NUMBER
—
01
—
G45867
STATE LICENSE NUMBER
CA
Enumeration date
05/16/2007
Last updated
09/17/2009
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