Search › California › 207R00000X
Annie Park, M.D
NPI 1912384025 · on the registry since 2015 · sole proprietor
Practice
- Address
- 11175 Campus Street, Csp 11015
Loma Linda, CA 92354 - Phone
- (909) 558-4910
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-29
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