Individual
MR. ELVIN M PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1700 N ROSE AVE STE 220, OXNARD, CA 93030-7640
(805) 754-2811
(805) 754-2814
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
11908
CA
Other
Enumeration date
07/05/2006
Last updated
10/03/2023
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