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Individual

DR. CAROLINE PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
1520 SAN PABLO ST STE 1300, LOS ANGELES, CA 90033-5312
(323) 442-5900
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5900

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A170021
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
390200000X
MOUNT SINAI BETH ISRAEL
NY
Enumeration date
04/21/2017
Last updated
09/15/2024
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