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Individual
MR. DANIEL PARK
Active
Individual
MR. DANIEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA13945
CA
363AM0700X
Medical Physician Assistant
PA13945
CA
363AS0400X
Surgical Physician Assistant
PA13945
CA
Other
Enumeration date
05/23/2005
Last updated
02/03/2023
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