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Dr. Patrick T Park, MD
Specialist in Los Angeles, California
NPI 1215975594

Patrick T Park is a Specialist based in Los Angeles, CA. Patrick T Park practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for Patrick T Park is 1215975594 and holds a License No. G76980 (California).

The current practice location address for Patrick T Park is 266 S Harvard Blvd, Los Angeles, CA and can be reached out via phone at 213-739-1025 and via fax at 213-739-9936.

Location: 266 S Harvard Blvd, Los Angeles, CA, 90004-4372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215975594
Provider Name
Patrick T Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
266 S Harvard Blvd, Los Angeles, CA, 90004-4372
Phone Number
213-739-1025
Fax Number
213-739-9936
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G769800 05 CA
institution
Provider Business Practice Location Address Details
Address
266 S Harvard Blvd
City
Los Angeles
State
California
Zip
90004-4372
Phone Number
213-739-1025
Fax Number
213-739-9936
person
Provider Business Mailing Address Details
Address
266 S Harvard Blvd
City
Los Angeles
State
California
Zip
90004-4372
Phone Number
213-739-1025
Fax Number
213-739-9936
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G76980 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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