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Raymond Park, DO,
Adult Medicine Physician in Los Angeles, California
NPI 1174970560

Raymond Park is an Adult Medicine Physician based in Los Angeles, CA and is specialized in Adult Medicine. Raymond Park practices in Los Angeles, CA and has the professional credentials of DO,. The NPI Number for Raymond Park is 1174970560 and holds a License No. 8XGL620 (California).

The current practice location address for Raymond Park is 4733 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 323-783-1338.

Location: 4733 W Sunset Blvd, Los Angeles, CA, 90027-6021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174970560
Provider Name
Raymond Park
Credential
DO,
Provider Entity Type
Individual
Gender
Male
Address
4733 W Sunset Blvd, Los Angeles, CA, 90027-6021
Phone Number
323-783-1338
Fax Number
Provider Enumeration Date
05/16/2016
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
4733 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6021
Phone Number
323-783-1338
Fax Number
person
Provider Business Mailing Address Details
Address
4733 W Sunset Blvd
City
Los Angeles
State
California
Zip
90027-6021
Phone Number
323-783-1338
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
8XGL620 (California)
Definition
Definition to come.
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