Deanna Park, MA is a
Student In An Organized Health Care Education/training Program based in Los Angeles, California. Deanna Park is licensed to practice in California (license number ) and her current practice location is
4650 W Sunset Blvd # 53, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at
(323) 361-3849.
NPI number for Deanna Park is 1710141486 and her current mailing address is 4650 W Sunset Blvd # 53, Los Angeles, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710141486.
Healthcare Provider's Profile
Full Name | Deanna Park |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4650 W Sunset Blvd # 53, Los Angeles, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710141486
- Provider Enumeration Date: 07/11/2008
- Last Update Date: 06/26/2019
Medical Identifiers
Medical identifiers for Deanna Park such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710141486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Deanna Park is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Deanna Park, MA 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 Ph: (323) 361-3849 | Deanna Park, MA 4650 W Sunset Blvd # 53, Los Angeles, CA 90027-6062 Ph: (323) 361-3849 |
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