Organization
DAVID J. PARKS MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J PARKS M.D. (PRESIDENT)
(310) 289-3666
Entity
Organization
Contact information
Practice address
8920 WILSHIRE BLVD, SUITE 500, BEVERLY HILLS, CA 90211-2007
(310) 289-3666
(310) 289-8908
Mailing address
8920 WILSHIRE BLVD, SUITE 500, BEVERLY HILLS, CA 90211-2007
(310) 289-3666
(310) 289-8908
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G78517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G78517
LICENSE
CA
Enumeration date
02/22/2012
Last updated
04/10/2017
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