Search › California › 207Q00000X
Edward Park, MD
NPI 1740368984 · on the registry since 2006 · sole proprietor
Practice
- Address
- 3980 Wilshire Blvd Apt 735
Los Angeles, CA 90010 - Phone
- (714) 369-8633
- Fax
- (213) 214-3935
- Organisation at this address
- Ahra Ko Lcsw Cognithrive Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207Q00000X
207Q00000X
207Q00000X
207Q00000X - Licence states on file
- FL, TX, CA, HI, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-19
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