Organization
APC MEDICAL GROUP, INC.
Active
Other names
Beverly Washington Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY PARK M.D. (MEDICAL DIRECTOR)
(213) 745-3636
Entity
Organization
Contact information
Practice address
1005 E WASHINGTON BLVD, #A, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Mailing address
1005 E WASHINGTON BLVD, #A, LOS ANGELES, CA 90021-3020
(213) 745-3636
(213) 745-3626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GR0093750
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093750
—
CA
01
—
W18237
PTAN
CA
Enumeration date
09/12/2005
Last updated
11/06/2007
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