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Individual

HERAN ANGELA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4010 E CHAPMAN AVE STE C, ORANGE, CA 92869-3990
(714) 500-0360
(714) 532-3943
Mailing address
4010 E CHAPMAN AVE STE C, ORANGE, CA 92869-3990
(714) 500-0360
(714) 532-3943

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G67916
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G679160
CA
Enumeration date
10/12/2006
Last updated
03/25/2011
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