Organization · Type 2 NPI
Richard Park M.d., A Professional Corporation
Multi-Specialty Clinic/Center · Granada Hills, CA
NPI number
1982946323
Active
Practice location
10515 Balboa Blvd Ste 325
Granada Hills, CA 91344-6364
Fax (747) 200-2589
Mailing address
2709 Rocky Point Ct
Thousand Oaks, CA 91362-4943
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Methadone Clinic | 261QM2800X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1982946323
Richard Park M.d., A Professional Corporation's National Provider Identifier is 1982946323, issued on Mar 25, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Granada Hills, CA. The record was last updated on Apr 9, 2024.