Individual
DANIEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
200 W ARBOR DR, MC 8208, SAN DIEGO, CA 92103-9001
(619) 543-3092
Mailing address
200 W ARBOR DR, MC 8208, SAN DIEGO, CA 92103-9001
(619) 543-3092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27121
AL
207RI0200X
Infectious Disease Physician
Primary
A99433
CA
Other
Enumeration date
05/07/2007
Last updated
12/21/2010
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