Search › California › 363L00000X
Mina Park, AGNP-C
NPI 1417312406 · on the registry since 2015
Practice
- Address
- 8650 Belford Ave Apt 225
Los Angeles, CA 90045 - Phone
- (818) 987-5088
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163WG0600X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-12-18
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