Individual
ROBERT PARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 W LA VETA AVE STE 108, ORANGE, CA 92868
(714) 639-2600
(714) 289-3906
Mailing address
845 W LA VETA AVE STE 108, ORANGE, CA 92868-3930
(714) 639-2600
(714) 289-3906
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G27430
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447410519
NPI - TYPE 2
—
01
—
1720247455
NPI - TYPE 2
—
01
—
1912919804
NPI - TYPE 2
CA
01
—
290003379
RAIL ROAD MEDICARE - PROVIDER PTAN
CA
01
—
CG5665
RAIL ROAD MEDICARE - GROUP PTAN
CA
01
—
W11996
MEDICARE PTAN - TYPE 2
CA
01
—
W1514
MEDICARE PTAN - TYPE 2
CA
01
—
W1514B
MEDICARE PTAN - TYPE 2
CA
Enumeration date
03/14/2006
Last updated
10/26/2020
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