Individual provider · Type 1 NPI

Ariel Park, MD

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

NPI number 1467156943 Active

Practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

26086 Lugo Dr
Loma Linda, CA 92354-6507

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 1467156943

Ariel Park, MD's National Provider Identifier is 1467156943, issued on Mar 28, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fontana, CA. The record was last updated on Sep 26, 2023.