Individual provider · Type 1 NPI

Raymond Park, D.O

Adult Medicine Physician · Los Angeles, CA

NPI number 1174970560 Active

Practice location

4733 W Sunset Blvd, 3rd Floor
Los Angeles, CA 90027-6021

Call (323) 783-1338 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X8XGL620 (CA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

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About NPI 1174970560

Raymond Park, D.O's National Provider Identifier is 1174970560, issued on May 16, 2016. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 13, 2024.