Individual
DR. PERLA M PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2801 SANTA MARIA WAY, SANTA MARIA, CA 93455-2118
(805) 938-9200
(805) 938-9207
Mailing address
2050 S BLOSSER RD, SANTA MARIA, CA 93458-7310
(805) 361-8028
(805) 361-8097
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A48406
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A484060
—
CA
Enumeration date
08/01/2006
Last updated
06/15/2015
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