Organization
ESTHER PARK, D.O., LLC
Active
Other names
Park Psychiatry, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL KIM (OFFICE MANAGER)
(949) 258-3741
Entity
Organization
Contact information
Practice address
1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
(949) 258-3741
(949) 258-3742
Mailing address
1101 DOVE ST, SUITE 130, NEWPORT BEACH, CA 92660-2844
(949) 258-3741
(949) 258-3742
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
20A7734
CA
Other
Enumeration date
01/10/2008
Last updated
01/03/2012
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