Organization
CHARLES J PARK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J. PARK M.D. (SOLE OWNER)
(818) 577-5654
Entity
Organization
Contact information
Practice address
24723 CALLE LARGO, CALABASAS, CA 91302-3014
(818) 577-5654
Mailing address
24723 CALLE LARGO, CALABASAS, CA 91302-3014
(818) 577-5654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A51947
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A51947
CA
Other
Enumeration date
06/25/2006
Last updated
12/15/2021
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