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Organization
PETER H PARK MD INC
Active
Organization
PETER H PARK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER H PARK M.D. (PRESIDENT)
(213) 739-9936
Entity
Organization
Contact information
Practice address
3456 W. OLYMPIC BLVD., 101, LOS ANGELES, CA 90019-2124
(213) 386-3450
(213) 386-3457
Mailing address
3456 W. OLYMPIC BLVD., 101, LOS ANGELES, CA 90019-2124
(213) 386-3450
(213) 386-3457
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G67513
CA
Other
Enumeration date
01/15/2009
Last updated
12/13/2022
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