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Search › California › 207R00000X

Richard Park, M.D

NPI 1174718134 · on the registry since 2007 · sole proprietor

Practice

Address
10515 Balboa Blvd Ste 325
Granada Hills, CA 91344
Phone
(186) 789-8758
Fax
(747) 200-2589
Organisation at this address
Seersoft
Elitemed Inc
Elitemed, Inc.
Elitemed, Inc.
Ame Hospice Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208D00000X
208M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-05

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