Individual
DR. DANIEL PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
Mailing address
13193 CENTRAL AVE, CHINO, CA 91710-4179
(909) 464-9675
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A13220
CA
Other
Enumeration date
04/20/2014
Last updated
12/03/2021
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