Individual provider · Type 1 NPI

Agatha L. Park, MD

Specialist · Beverly Hills, CA

NPI number 1407988165 Active

Practice location

245 S Crescent Dr
Beverly Hills, CA 90212-4001

Call (310) 550-7669 Map

Fax (310) 247-0950

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X95-4263002 (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 1407988165

Agatha L. Park, MD's National Provider Identifier is 1407988165, issued on Mar 9, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Beverly Hills, CA. The record was last updated on Mar 23, 2011.