DAI PARK

MODESTO, CA
NPI1376744896
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207K00000X Allergy & Immunology
(Licence: CA  A101619)
Additional Taxonomies207R00000X Internal Medicine
(Licence: TN  45278)
207R00000X Internal Medicine
(Licence: CA  A101619)
Enumeration Date2007-05-31
Last Update Date2021-12-22
Business Address
-- DAI PARK M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
Mailing Address
-- DAI PARK M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097