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1013514777
MICHAEL PARK
LOS ANGELES, CA
NPI
1013514777
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-10-06
Last Update Date
2023-06-06
Business Address
MICHAEL PARK
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017-1209
Phone number: 213-219-5802
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Mailing Address
MICHAEL PARK
515 COLUMBIA AVE STE 200
LOS ANGELES, CA 90017-1209
Phone number:
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