Organization
CAREMORE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEA J PARK (MD)
(714) 203-1767
Entity
Organization
Contact information
Practice address
1325 N. ROSE DRIVE #102, PLACENTIA LINDA, CA 92870
(714) 203-1767
Mailing address
1325 N. ROSE DRIVE #102, PLACENTIA LINDA, CA 92870
(714) 203-1767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A90047
CA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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