Individual
ARNOLD PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 ZONAL AVE, LOS ANGELES, CA 90033-1065
(323) 843-9013
Mailing address
635 S NORTON AVE PH 405, LOS ANGELES, CA 90005-5216
(818) 818-9925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2255A2300X
Athletic Trainer
Primary
16360
CA
Other
Enumeration date
09/29/2023
Last updated
09/29/2023
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