Individual
DENISE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10820 183RD ST, CERRITOS, CA 90703-8010
(562) 653-5032
Mailing address
10820 183RD ST, CERRITOS, CA 90703-8010
(562) 653-5032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A80540
CA
Other
Enumeration date
01/08/2007
Last updated
12/01/2021
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