Individual provider · Type 1 NPI

Elvin M. Park, N.P.

Gerontology Nurse Practitioner · Oxnard, CA

NPI number 1285665778 Active

Practice location

1700 N Rose Ave Ste 220
Oxnard, CA 93030-7640

Fax (805) 754-2814

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X11908 (CA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1285665778

Elvin M. Park, N.P.'s National Provider Identifier is 1285665778, issued on Jul 5, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Oxnard, CA. The record was last updated on Oct 3, 2023.