Peter Park, D.C

NPI 1417214750 · on the registry since 2012 · sole proprietor

Practice

Address: 1800 W Beverly Blvd Ste 101
Montebello, CA 90640
Phone: (323) 516-6252
Fax: (714) 801-7928
Organisation at this address: Montebello Health Clinic, Llc
Montebello Medical Supply,Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 111NX0800X
111NX0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-04-11

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