Individual provider · Type 1 NPI

Grace Park, MD

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1346042785 Active

Practice location

1450 San Pablo St Ste 3600
Los Angeles, CA 90033-5332

Call (323) 865-1084 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1346042785

Grace Park, MD's National Provider Identifier is 1346042785, issued on Mar 26, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Mar 26, 2025.