Individual provider · Type 1 NPI
Jane Park, PA
Medical Physician Assistant · Los Angeles, CA
NPI number
1760347165
Active
Practice location
1731 E 120th St
Los Angeles, CA 90059-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1760347165
Jane Park, PA's National Provider Identifier is 1760347165, issued on Dec 17, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Los Angeles, CA. The record was last updated on Jan 10, 2026.