Organization
CHRIS J PARK DPM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRIS J PARK DPM (OWNER)
(626) 913-0948
Entity
Organization
Contact information
Practice address
18895 COLIMA RD, SUITE A, ROWLAND HEIGHTS, CA 91748-2978
(626) 913-0948
(626) 854-1422
Mailing address
14839 COUNTRY CREEK CT, CHINO HILLS, CA 91709-5161
(909) 241-6511
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
E4168
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E41680
—
CA
Enumeration date
12/17/2007
Last updated
04/18/2008
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