# ALANE PARK MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801227913
- **Authorized official:** DR. ALANE PARK M.D. (PRESIDENT)
- **Authorized official phone:** (213) 294-2160

## Contact information

- **Practice address:** 1245 WILSHIRE BLVD, SUITE 605, LOS ANGELES, CA 90017-4810
- **Practice address phone:** (213) 294-2160
- **Practice address fax:** (213) 294-2165
- **Mailing address:** 12930 VENTURA BLVD, \#643, STUDIO CITY, CA 91604-2200
- **Mailing address phone:** (213) 294-2160
- **Mailing address fax:** (213) 294-2165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2013
- **Last updated:** 11/29/2013