Individual
CHRISTY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2952 VIEJO RIDGE NORTH DR, LAKE FOREST, CA 92679-1647
(714) 788-9790
Mailing address
2952 VIEJO RIDGE NORTH DR, LAKE FOREST, CA 92679-1647
(714) 788-9790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95036963
CA
Other
Enumeration date
05/07/2019
Last updated
11/26/2025
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