Individual
ALICE J PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3780 KILROY AIRPORT WAY STE 115, LONG BEACH, CA 90806
(562) 595-7426
(562) 989-3054
Mailing address
3780 KILROY AIRPORT WAY, SUITE 115, LONG BEACH, CA 90806-2457
(562) 595-7426
(562) 989-3054
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A90337
CA
Other
Enumeration date
12/28/2006
Last updated
08/13/2018
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