| Park Psychiatry, Llc | |
|
1101 Dove St Suite 130 Newport Beach CA 92660-2844 | |
| (949) 258-3741 | |
| (949) 258-3742 |
| Full Name | Park Psychiatry, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1101 Dove St, Newport Beach, California |
| Authorized Official Name and Position | Paul Kim (OFFICE MANAGER) |
| Authorized Official Contact | 9492583741 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Psychiatry, Llc 1101 Dove St Suite 130 Newport Beach CA 92660-2844 Ph: (949) 258-3741 | Park Psychiatry, Llc 1101 Dove St Suite 130 Newport Beach CA 92660-2844 Ph: (949) 258-3741 |
| NPI Number | 1104002096 |
|---|---|
| Provider Enumeration Date | 01/10/2008 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104002096 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 20A7734 (California) | Primary |
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