Jericho Bryan Park, MD is a student in an organized health care education training program in Orange, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jericho Bryan Park, MD NPI is 1447745179. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
333 CITY BLVD W STE 2150
ORANGE, CA
ZIP 92868-920
Phone: (714) 456-6661
The NPI 1447745179 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 6/26/2018 and was last updated on 6/26/2018.