Individual
DR. ELISA M. PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
(747) 210-4341
Mailing address
23400 VANOWEN ST, WEST HILLS, CA 91307-2439
(818) 312-3411
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
20A12656
CA
Other
Enumeration date
04/01/2011
Last updated
03/21/2018
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