AMANDA ELIZABETH PARK NP NPI 1134781305

NPI Information

NPI: 1134781305
Provider Name: AMANDA ELIZABETH PARK, NP
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
757 WESTWOOD PLZ
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-9111
Get Directions

Amanda Elizabeth Park, NP is an acute care nurse practitioner in Los Angeles, CA with 5 years of experience. Amanda Elizabeth Park, NP NPI is 1134781305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

757 WESTWOOD PLZ
LOS ANGELES, CA
ZIP 90095-358
Phone: (310) 825-9111

The NPI 1134781305 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/8/2019 and was last updated on 6/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	95012049	CALIFORNIA	Yes
2	363L00000X	Nurse Practitioner		95012049	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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