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Search › California › 207Q00000X

Grace Park, D.O. , MPH

NPI 1164677464 · on the registry since 2008

Practice

Address
15446 S Western Ave
Southern California Permanente Medical Group
Gardena, CA 90249
Phone
(310) 965-4821
Organisation at this address
Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-12-06

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