Search › California › 207Q00000X
Jonathan Park, MD
NPI 1205324969 · on the registry since 2018
Practice
- Address
- 8876 Mission Blvd
Jurupa Valley, CA 92509 - Phone
- (951) 360-8795
- Organisation at this address
- County Of Riverside
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-08
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