Individual provider · Type 1 NPI

Stella Park

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

NPI number 1831049733 Active

Practice location

932 S Harvard Blvd
Los Angeles, CA 90006-1207

Call (323) 965-1365 Map

Fax (323) 965-0444

Mailing address

5675 W Olympic Blvd
Los Angeles, CA 90036-4712

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 1831049733

Stella Park's National Provider Identifier is 1831049733, issued on Jan 30, 2026. 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 Jan 30, 2026.