Individual
CHRISTINE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1450 SAN PABLO ST STE 5100, LOS ANGELES, CA 90033-4500
(323) 442-5790
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5790
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA54637
CA
Other
Enumeration date
07/07/2017
Last updated
11/27/2023
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