Individual
DALE GENE PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12555 W JEFFERSON BLVD STE 303, LOS ANGELES, CA 90066-7032
(310) 822-5066
(310) 827-4420
Mailing address
4560 ADMIRALTY WAY, SUITE 303, MARINA DEL REY, CA 90292
(310) 822-5066
(310) 827-4420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C35271
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C352710
—
CA
Enumeration date
07/28/2006
Last updated
04/19/2021
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