Individual
DR. KAY LOREN PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 W EULALIA ST, STE 110, GLENDALE, CA 91204-2849
(818) 551-7127
(818) 551-7131
Mailing address
222 W EULALIA ST, STE 110, GLENDALE, CA 91204-2849
(818) 551-7127
(818) 551-7131
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G81539
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G815390
—
CA
05
—
1811076342
—
CA
05
—
GR0095000
—
CA
Enumeration date
03/08/2006
Last updated
04/17/2013
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