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Richard Park M.d., A Professional Corporation
Methadone Clinic in Granada Hills, California
NPI 1982946323

Richard Park M.d., A Professional Corporation is a Methadone Clinic based in Thousand Oaks, CA and is specialized in Methadone. Richard Park M.d., A Professional Corporation practices in Granada Hills, CA. The NPI Number for Richard Park M.d., A Professional Corporation is 1982946323 and holds a License No. (California).

The current practice location address for Richard Park M.d., A Professional Corporation is 10515 Balboa Blvd Ste 325, Granada Hills, CA and can be reached out via phone at 818-678-9875 and via fax at 747-200-2589.

Location: 10515 Balboa Blvd Ste 325, Granada Hills, CA, 91362-4943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982946323
Provider Name
Richard Park M.d., A Professional Corporation
Credential
Provider Entity Type
Organization
Address
10515 Balboa Blvd Ste 325, Granada Hills, CA, 91362-4943
Phone Number
818-678-9875
Fax Number
747-200-2589
Provider Enumeration Date
03/25/2013
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
10515 Balboa Blvd Ste 325
City
Granada Hills
State
California
Zip
91344-6364
Phone Number
818-678-9875
Fax Number
747-200-2589
person
Provider Business Mailing Address Details
Address
10515 Balboa Blvd Ste 325
City
Granada Hills
State
California
Zip
91344-6364
Phone Number
818-678-9875
Fax Number
747-200-2589
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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