Organization
WILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION
Active
Organization
WILSHIRE CARDIOLOGY GROUP, A PROFESSIONAL CORPORATION
Active
Other names
Wilshire Cardiology Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE SEEKOOK PARK M.D. (OWNER)
(213) 387-8000
Entity
Organization
Contact information
Practice address
500 S VIRGIL AVE, STE. 200, LOS ANGELES, CA 90020-1446
(213) 387-8000
(213) 769-5004
Mailing address
500 S VIRGIL AVE, STE 200, LOS ANGELES, CA 90020-1446
(213) 387-8000
(213) 387-7387
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207U00000X
Nuclear Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G714481
—
CA
01
—
060061949
RAILROAD MEDICARE
CA
01
—
2973727
MEDICAL PIN
CA
Enumeration date
09/02/2010
Last updated
12/02/2022
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