Individual
DR. AGATHA L PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 S CRESCENT DR, BEVERLY HILLS, CA 90212-4001
(310) 550-7669
(310) 247-0950
Mailing address
245 S CRESCENT DR, BEVERLY HILLS, CA 90212-4001
(310) 550-7669
(310) 247-0950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
95-4263002
CA
Other
Enumeration date
03/09/2007
Last updated
03/23/2011
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