DANIEL PARK

LOS ANGELES, CA
NPI1538162631
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA13945)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: CA  PA13945)
363AS0400X Physician Assistant, Surgical
(Licence: CA  PA13945)
Enumeration Date2005-05-23
Last Update Date2023-02-03
Business Address
Mr. DANIEL PARK P.A.
1441 EASTLAKE AVE STE 7416
LOS ANGELES, CA 90089-2211
Phone number: 323-865-3700
Mailing Address
Mr. DANIEL PARK P.A.
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-865-3700