Individual
DR. JAMES PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
520 SUPERIOR AVE STE 205, NEWPORT BEACH, CA 92663-3667
(949) 764-4006
(949) 764-7398
Mailing address
117 WINDSWEPT, IRVINE, CA 92618-0853
(267) 258-7954
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20A16232
CA
2084N0600X
Clinical Neurophysiology Physician
20A16232
CA
Other
Enumeration date
09/07/2012
Last updated
08/19/2022
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