| Dealie Elizabeth Park, PA | |
|
30870 Russell Ranch Rd Ste 330, Westlake Village, CA 91362-7372 | |
| (805) 497-7015 | |
| (805) 497-7315 |
| Full Name | Dealie Elizabeth Park |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 30870 Russell Ranch Rd Ste 330, Westlake Village, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427161488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | PA15401 (California) | Secondary |
| 363A00000X | Physician Assistant | PA15401 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kaiser Foundation Hospital - Woodland Hills | Woodland hills, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Regents Of The University Of California | 0547490534 | 108 |
| Southern California Permanente Medical Group | 6002729175 | 8172 |
| Mailing Address | Practice Location Address |
|---|---|
| Dealie Elizabeth Park, PA 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Dealie Elizabeth Park, PA 30870 Russell Ranch Rd Ste 330, Westlake Village, CA 91362-7372 Ph: (805) 497-7015 |
Erin Brooke Call, MSPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1240 S Westlake Blvd Ste 217, Westlake Village, CA 91361 Phone: 805-497-0097 Fax: 805-497-1557 | |
Amanda Antoinette Dominguez, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1240 S Westlake Blvd Ste 205, Westlake Village, CA 91361 Phone: 805-495-0551 | |
Mrs. Johanna Bulmer, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1220 La Venta Dr Ste 103, Westlake Village, CA 91361 Phone: 805-493-3225 | |
Erin Beth Rudin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 696 Hampshire Rd, Suite 180, Westlake Village, CA 91361 Phone: 805-285-2225 Fax: 805-285-3291 | |
Martha Estela Ruiz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4373 Park Terrace Dr Ste 101, Westlake Village, CA 91361 Phone: 805-449-7204 | |
Eva Marie De La Motte Hurst, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 32144 Agoura Rd Ste 112, Westlake Village, CA 91361 Phone: 818-889-2739 Fax: 818-889-2747 |