Organization
RICHARD PARK, MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA EMBER (DIRECTOR)
(615) 522-4079
Entity
Organization
Contact information
Practice address
10515 BALBOA BLVD STE 325, GRANADA HILLS, CA 91344-6364
(805) 368-1293
Mailing address
10515 BALBOA BLVD STE 325, GRANADA HILLS, CA 91344-6364
(805) 368-1293
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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