Organization
JAMES MO PARK MD APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PARK MD (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262-4872
(562) 407-2080
(562) 407-2082
Mailing address
14120 ALONDRA BLVD, SUITE C, SANTA FE SPRINGS, CA 90670-5820
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A79414
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79414
LICENSE
CA
Enumeration date
01/15/2016
Last updated
01/15/2016
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