Individual
DANIEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9808 VENICE BLVD STE 400, CULVER CITY, CA 90232-6807
(310) 838-0202
(310) 838-8694
Mailing address
9808 VENICE BLVD STE 400, CULVER CITY, CA 90232-6807
(310) 838-0202
(310) 838-8694
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
316942
NY
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
316942
NY
Other
Enumeration date
03/29/2018
Last updated
07/28/2023
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