Individual
DONALD PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, NORTH TOWER, RM 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Mailing address
8700 BEVERLY BLVD, NORTH TOWER, RM 8211, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5841
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A122092
CA
207R00000X
Internal Medicine Physician
P22031
MD
Other
Enumeration date
01/30/2008
Last updated
11/09/2021
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