| NPI | 1639703358 |
|---|---|
| Doing Business As | PARK ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | MATTHEW PARK C RN A 323-842-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |