Individual
CATHERINE Y. PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1401 S GRAND AVE, EMERGENCY DEPARTMENT, LOS ANGELES, CA 90015-3010
(213) 748-2411
Mailing address
PO BOX 661748, ARCADIA, CA 91066-1748
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A85473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A854730
—
CA
Enumeration date
05/19/2006
Last updated
07/11/2012
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