Individual
ANNE ELIZABETH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-1447
Mailing address
8700 BEVERLY BLVD STE 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A137068
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A137068
CA
207T00000X
Neurological Surgery Physician
125059436
IL
Other
Enumeration date
06/21/2011
Last updated
06/21/2022
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