Organization
CAREMORE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEA J PARK (MD)
(714) 888-8900
Entity
Organization
Contact information
Practice address
1945 E. 17TH ST., SUITE 101, SANTA ANA, CA 92705
(714) 888-8900
Mailing address
1945 E. 17TH ST., SUITE 101, SANTA ANA, CA 92705
(714) 888-8900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A90047
CA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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