Search › California › 207PE0004X
Daniel Park
NPI 1518197938 · on the registry since 2009
Practice
- Address
- 3300 Douglas Blvd Ste 405
Roseville, CA 95661 - Phone
- (847) 337-9051
- Organisation at this address
- Phil Bluemel Family Therapy Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 207PE0004X
207PE0004X
- Also registered as
- 390200000X
- Licence states on file
- CA, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-04-12
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