DR. Keith Park
NPI #1710101092 in Calimesa, California
Provider Information
- NPI Number
- 1710101092
- Entity Type
- Individual
- Name
- DR. Keith Park
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 908 PARK AVE
- City
- Calimesa
- State
- California
- ZIP Code
- 92320-1148
- Phone
- (909) 518-3886
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Psychologist |
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