Mr. Daniel Park, PA
Medical Physician Assistant in Los Angeles, California
NPI 1538162631

Daniel Park is a Medical Physician Assistant based in Los Angeles, CA and is specialized in Medical. Daniel Park practices in Los Angeles, CA and has the professional credentials of PA. The NPI Number for Daniel Park is 1538162631 and holds a License No. PA13945 (California).

The current practice location address for Daniel Park is 1441 Eastlake Ave, Los Angeles, CA and can be reached out via phone at 323-865-3700 and via fax at323-865-0120. You can also correspond with Daniel Park through the mailing address at PO BOX 31309, LOS ANGELES, CA - 90031-0309 (mailing address contact number: 323-865-3700).

person
Provider Profile Details
NPI Number
1538162631
Provider Name
Daniel Park
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1441 Eastlake Ave, Los Angeles, CA, 90031-0309
Phone Number
323-865-3700
Fax Number
323-865-0120
Provider Enumeration Date
05/23/2005
Last Update Date
09/17/2020
institution
Provider Business Practice Location Address Details
Address
1441 Eastlake Ave
City
Los Angeles
State
California
Zip
90089-2211
Phone Number
323-865-3700
Fax Number
323-865-0120
person
Provider Business Mailing Address Details
Address
Po Box 31309
City
Los Angeles
State
California
Zip
90031-0309
Phone Number
323-865-3700
Fax Number
323-865-0120
person
Provider's Primary Taxonomy Details
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA13945 (California)
Definition
Definition to come...

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