Organization
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PARK MD (MD)
(562) 616-1166
Entity
Organization
Contact information
Practice address
7300 ALONDRA BLVD, STE 100, PARAMOUNT, CA 90723-4000
(562) 616-1166
(562) 616-1141
Mailing address
7300 ALONDRA BLVD, STE 101, PARAMOUNT, CA 90723-4000
(562) 531-8300
(562) 531-8035
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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