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Individual

CHRISTOPHER C PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
15602 MOSHER AVE, TUSTIN, CA 92780-6427
(949) 355-3675
Mailing address
15602 MOSHER AVE, TUSTIN, CA 92780-6427
(949) 355-3675

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
C46870
CA
224P00000X
Prosthetist
Primary
C46870
CA

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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