Michele Park
NPI #1063215127 in Corona, California
Provider Information
- NPI Number
- 1063215127
- Entity Type
- Individual
- Name
- Michele Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Mar 31, 2025
- Last Updated
- Sep 8, 2025
Practice Location
- Address
- 802 MAGNOLIA AVE STE 205
- City
- Corona
- State
- California
- ZIP Code
- 92879-3144
- Phone
- (951) 281-2730
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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