Individual provider · Type 1 NPI

Peter H. Park, MD

Specialist · Los Angeles, CA

NPI number 1225076516 Active

Practice location

3456 W. Olympic Blvd., 101
Los Angeles, CA 90019-2124

Fax (213) 386-3457

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG67513 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1225076516

Peter H. Park, MD's National Provider Identifier is 1225076516, issued on Jun 2, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 13, 2022.