| Joseph H Park Md Inc | |
|
2727 W Olympic Blvd Suite 113 Los Angeles CA 90006-2637 | |
| (213) 382-3663 | |
| (213) 385-6602 |
| Full Name | Joseph H Park Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2727 W Olympic Blvd, Los Angeles, California |
| Authorized Official Name and Position | Joseph H Park (PRESIDENT) |
| Authorized Official Contact | 2133823663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph H Park Md Inc 2727 W Olympic Blvd Suite 113 Los Angeles CA 90006-2637 Ph: (213) 382-3663 | Joseph H Park Md Inc 2727 W Olympic Blvd Suite 113 Los Angeles CA 90006-2637 Ph: (213) 382-3663 |
| NPI Number | 1164857256 |
|---|---|
| Provider Enumeration Date | 09/07/2013 |
| Last Update Date | 09/07/2013 |
| Medicare PECOS PAC ID | 1951531938 |
|---|---|
| Medicare Enrollment ID | O20140313001704 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164857256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph H Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457482432 PECOS PAC ID: 5991746653 Enrollment ID: I20110210000578 |
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