Individual
EDWARD J PARK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(503) 372-2740
(503) 372-2754
Mailing address
FILE 4501, LOS ANGELES, CA 90074-0001
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A85265
CA
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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