Christopher William Park, MD | |
13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 | |
(858) 546-3800 | |
Not Available |
Full Name | Christopher William Park |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 13280 Evening Creek Dr S, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700863198 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | A89672 (California) | Primary |
2085R0202X | Radiology - Diagnostic Radiology | 2008025572 (Missouri) | Secondary |
Entity Name | Honorhealth Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043851793 PECOS PAC ID: 1557274057 Enrollment ID: O20031119000717 |
Entity Name | Southwest Diagnostic Imaging Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902896236 PECOS PAC ID: 7416946199 Enrollment ID: O20040507001294 |
Entity Name | Radadvantage A Professional Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376719666 PECOS PAC ID: 2163597899 Enrollment ID: O20091209000071 |
Entity Name | Butler Imaging And Interventional Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659518389 PECOS PAC ID: 8426115478 Enrollment ID: O20141118001442 |
Entity Name | Professional Radiology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043348014 PECOS PAC ID: 0941298764 Enrollment ID: O20170526001601 |
Entity Name | Central Valley Imaging Medical Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275523169 PECOS PAC ID: 8628064953 Enrollment ID: O20180104000949 |
Entity Name | Radiology Consultants Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285735571 PECOS PAC ID: 9032195128 Enrollment ID: O20181002003421 |
Entity Name | Phoebe Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20220627001840 |
Mailing Address | Practice Location Address |
---|---|
Christopher William Park, MD 3509 N 34th St, Phoenix, AZ 85018-5703 Ph: (573) 356-5886 | Christopher William Park, MD 13280 Evening Creek Dr S, Suite 110, San Diego, CA 92128-4101 Ph: (858) 546-3800 |
Kripa Anil Guram, MD Radiology Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Lejla Aganovic, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781 | |
Dr. Zachary G. Rattner, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 995 Gateway Center Way, Suite 207, San Diego, CA 92102 Phone: 619-263-9729 Fax: 619-263-9730 | |
Dr. Soheil Niku, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 12580 Carmel Creek Rd, #52, San Diego, CA 92130 Phone: 619-322-0341 Fax: 858-509-0341 | |
Dr. Frank B. Hamlett, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 319 Laurel St, San Diego, CA 92101 Phone: 619-234-3918 Fax: 619-234-5342 | |
Dr. Aaron Mathew Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7910 Frost St, San Diego, CA 92123 Phone: 858-939-3600 | |
Dr. Paul S Schulman, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 4352 Trias St, San Diego, CA 92103 Phone: 619-997-8881 Fax: 619-795-9980 |