Richard Park M.d., a Professional Corporation
NPI #1982946323 in Granada Hills, California
Provider Information
- NPI Number
- 1982946323
- Entity Type
- Organization
- Organization Name
- Richard Park M.d., a Professional Corporation
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Mar 25, 2013
- Last Updated
- Apr 9, 2024
Practice Location
- Address
- 10515 BALBOA BLVD STE 325
- City
- Granada Hills
- State
- California
- ZIP Code
- 91344-6364
- Phone
- (818) 678-9875
Authorized Official
- Name
- RICHARD PARK, M.D.
- Title
- CEO/PHYSICIAN
- Phone
- (818) 678-9875
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Clinic/Center - Methadone — Methadone |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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