JOSEPH PARK

LOS ANGELES, CA
NPI1700568284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: CA  C52271)
Additional Taxonomies222Z00000X 
(Licence: CA  COA00648)
Enumeration Date2023-08-03
Last Update Date2023-08-09
Business Address
JOSEPH PARK CPO
2727 W OLYMPIC BLVD STE 113
LOS ANGELES, CA 90006-2641
Phone number: 310-507-3681
Mailing Address
JOSEPH PARK CPO
212 S MUIRFIELD RD
LOS ANGELES, CA 90004-3731
Phone number: 310-507-3681
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