Organization
GIL S PARK, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GIL S PARK M.D. (PRESIDENT)
(661) 324-0300
Entity
Organization
Contact information
Practice address
6000 PHYSICIANS BLVD, BAKERSFIELD, CA 93301-5840
(661) 322-4744
(661) 322-2938
Mailing address
3200 21ST ST, SUITE 301, BAKERSFIELD, CA 93301-3144
(661) 324-0300
(661) 324-4095
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
AA31383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A313830
—
CA
Enumeration date
03/04/2008
Last updated
03/09/2009
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