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Individual

DR. JOSEPH PARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
191 S BUENA VISTA ST STE 315, BURBANK, CA 91505-4556
(818) 848-5586
Mailing address
191 S BUENA VISTA ST STE 315, BURBANK, CA 91505-4556
(818) 848-5586

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4797
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982886412
PODIATRY
CA
Enumeration date
11/27/2007
Last updated
02/23/2009
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