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Organization
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Active
Organization
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PARK MD (MD)
(562) 616-1166
Entity
Organization
Contact information
Practice address
7300 ALONDRA BLVD, STE 100, PARAMOUNT, CA 90723-4000
(562) 616-1166
(562) 616-1141
Mailing address
7300 ALONDRA BLVD, STE 101, PARAMOUNT, CA 90723-4000
(562) 531-8300
(562) 531-8035
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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