Dr Wilson C Park, DC | |
2940 Westwood Blvd, Suite #1, Los Angeles, CA 90064-4145 | |
(310) 869-0536 | |
(310) 441-3727 |
Full Name | Dr Wilson C Park |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 27 Years |
Location | 2940 Westwood Blvd, Los Angeles, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548337587 | NPI | - | NPPES |
DC251660 | Other | CA | BLUE SHIELD OF CALIFORNIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC25166 (California) | Primary |
Provider Name | Wilson C Park Chiropractic Corp |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1427210822 PECOS PAC ID: 8426104415 Enrollment ID: O20090916000241 |
Mailing Address | Practice Location Address |
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Dr Wilson C Park, DC 2940 Westwood Blvd, Suite #1, Los Angeles, CA 90064-4145 Ph: (310) 869-0536 | Dr Wilson C Park, DC 2940 Westwood Blvd, Suite #1, Los Angeles, CA 90064-4145 Ph: (310) 869-0536 |
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