Individual
ERIKA D PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
127 S SAN VICENTE BLVD, LOS ANGELES, CA 90048
(310) 423-3977
Mailing address
127 S SAN VICENTE BLVD, LOS ANGELES, CA 90048-3311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95021725
CA
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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