Individual
DR. ANDREW PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, CCSP
Contact information
Practice address
4482 BARRANCA PKWY, SUITE 192, IRVINE, CA 92604-7701
(949) 552-5094
(949) 552-5096
Mailing address
1163 W 9TH ST, 1, SAN PEDRO, CA 90731-3436
(714) 388-2461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC30265
CA
Other
Enumeration date
04/17/2007
Last updated
04/21/2009
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