| NPI | 1104002096 |
|---|---|
| Doing Business As | PARK PSYCHIATRY, LLC |
| Entity Type | Organization |
| Authorized Contact | PAUL KIM Office Manager 949-258-3741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA 20A7734) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2012-01-03 |