Individual
DR. GREGORY CHARLES PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056-4500
(760) 655-1414
(760) 655-1415
Mailing address
3998 VISTA WAY, SUITE A, OCEANSIDE, CA 92056-4500
(760) 655-1414
(760) 655-1415
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G89460
CA
Other
Enumeration date
08/01/2006
Last updated
12/04/2014
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