Search › California › 171100000X
Chang Park
NPI 1134309891 · on the registry since 2007 · sole proprietor
Practice
- Address
- 975 S Vermont Ave
Suite #201
Los Angeles, CA 90006 - Phone
- (213) 383-2726
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-11-11
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