Search › California › 174400000X
Michael Park
NPI 1013514777 · on the registry since 2020
Practice
- Address
- 515 Columbia Ave Ste 200
Los Angeles, CA 90017 - Phone
- (213) 219-5802
- Organisation at this address
- Special Service For Groups, Inc.
Special Service For Groups, Inc.
Special Service For Groups, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 126
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Also registered as
- 171M00000X
- Sex
- Male
- Record last updated
- 2023-06-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California