RICHARD PARK M.D. A PROFESSIONAL CORPORATION NPI 1982946323

NPI Information

NPI: 1982946323
Provider Name: RICHARD PARK M.D., A PROFESSIONAL CORPORATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
10515 BALBOA BLVD STE 325
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 678-9875
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RICHARD PARK M.D., A PROFESSIONAL CORPORATION is a multi-specialty clinic center in Granada Hills, CA. RICHARD PARK M.D., A PROFESSIONAL CORPORATION NPI is 1982946323. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10515 BALBOA BLVD STE 325
GRANADA HILLS, CA
ZIP 91344-364
Phone: (818) 678-9875
Fax: (747) 200-2589

The provider's authorized official is Richard Park .
The authorized official title is Ceo/physician and has the following contact phone number (818) 678-9875.

The enumeration date for this NPI number is 3/25/2013 and was last updated on 4/9/2024.

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	Primary
1	207R00000X	Internal Medicine		No
2	261QM1300X	Clinic/Center	Multi-Specialty	Yes
3	261QM2800X	Clinic/Center	Methadone	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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