Individual
WAI K PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A15213
CA
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
20A15213
CA
Other
Enumeration date
05/01/2015
Last updated
03/29/2023
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