Individual
DANIEL NOAH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1225 WILSHIRE BLVD, LOS ANGELES, CA 90017-1901
(213) 977-2127
(213) 977-4146
Mailing address
915 RIDGECREST ST, MONTEREY PARK, CA 91754-4622
(323) 449-6169
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT22151
CA
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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