Individual
JOSEPH PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
2727 W OLYMPIC BLVD STE 113, LOS ANGELES, CA 90006-2641
(310) 507-3681
Mailing address
212 S MUIRFIELD RD, LOS ANGELES, CA 90004-3731
(310) 507-3681
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
COA00648
CA
224P00000X
Prosthetist
Primary
C52271
CA
Other
Enumeration date
08/03/2023
Last updated
08/09/2023
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