Individual
JEFFREY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 W SAN BERNARDINO RD, COVINA, CA 91723-1515
(626) 331-7331
(626) 859-5840
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
(949) 588-2199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A81062
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A810620
—
CA
Enumeration date
11/10/2006
Last updated
07/09/2007
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