Individual
CHRISTINA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5630 E SANTA ANA CANYON RD STE 100, ANAHEIM, CA 92807-3122
(714) 257-6170
Mailing address
1142 S DIAMOND BAR BLVD # 383, DIAMOND BAR, CA 91765-2203
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029338
CA
Other
Enumeration date
03/05/2024
Last updated
04/24/2024
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