Samuel Park is a student in an organized health care education training program in Los Angeles, 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. Samuel Park NPI is 1790237899. 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:
3580 WILSHIRE BLVD FL 8
LOS ANGELES, CA
ZIP 90010-505
Phone: (323) 351-4938
The enumeration date for this NPI number is 10/25/2016 and was last updated on 10/25/2016.