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Daniel Park
Student in an Organized Health Care Education/Training Program in Roseville, California
NPI 1518197938

Daniel Park is a Student in an Organized Health Care Education/Training Program based in Roseville, CA. Daniel Park practices in Roseville, CA. The NPI Number for Daniel Park is 1518197938 and holds a License No. A120791 (California).

The current practice location address for Daniel Park is 3300 Douglas Blvd Ste 405, Roseville, CA and can be reached out via phone at 847-337-9051. You can also correspond with Daniel Park through the mailing address at 3300 DOUGLAS BLVD., SUITE 405, ROSEVILLE, CA - 95611 (mailing address contact number: 847-337-9051).

Location: 3300 Douglas Blvd Ste 405, Roseville, CA, 95611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518197938
Provider Name
Daniel Park
Credential
Provider Entity Type
Individual
Gender
Male
Address
3300 Douglas Blvd Ste 405, Roseville, CA, 95611
Phone Number
847-337-9051
Fax Number
Provider Enumeration Date
07/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3300 Douglas Blvd Ste 405
City
Roseville
State
California
Zip
95661-3841
Phone Number
847-337-9051
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Douglas Blvd Ste 405
City
Roseville
State
California
Zip
95661-3841
Phone Number
847-337-9051
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
Emergency Medical Services
Taxonomy
207PE0004X
License No.
4301094367 (Michigan)
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
A120791 (California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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