Individual
DR. DAVID JAY PARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207W00000X
Ophthalmology Physician
G78517
CA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
G78517
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G785170
—
CA
01
—
1841381688
NPI
CA
Enumeration date
09/27/2006
Last updated
04/10/2017
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