Individual
ANTHONY J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10800 MAGNOLIA AVE, MOB 2, 2ND FLOOR, RIVERSIDE, CA 92505-3043
(866) 984-7483
Mailing address
10800 MAGNOLIA AVE, KAISER PERMANENTE RIVERSIDE MEDICAL CENTER, RIVERSIDE, CA 92505-3043
(866) 984-7483
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A135983
CA
Other
Enumeration date
05/25/2010
Last updated
11/29/2021
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