Individual
DR. ALICE S PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 CAMPUS POINT DR, MAIL CODE 0633, LA JOLLA, CA 92037-1300
(888) 309-8273
Mailing address
9300 CAMPUS POINT DR, MAIL CODE 0633, LA JOLLA, CA 92037-1300
(888) 309-8273
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
A94437
CA
207VE0102X
Reproductive Endocrinology Physician
Primary
A94437
CA
Other
Enumeration date
08/01/2006
Last updated
12/01/2021
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