Individual
ANDREA PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL PLAZA, STE 550, LOS ANGELES, CA 90024-0000
(310) 206-6688
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(314) 747-0553
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
2010017830
MO
207Y00000X
Otolaryngology Physician
Primary
A148086
CA
Other
Enumeration date
06/15/2010
Last updated
07/21/2022
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