Dr. John Park, M.D.
Radiology, Vascular & Interventional Radiology in Duarte, CA. Individual provider (NPI-1).
NPI number1124155643
StatusActive
Last updated in NPPESNov 19, 2020
Details
- NPI
- 1124155643
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Park
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2007
- Certification date
- Nov 19, 2020
- Last updated
- Nov 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | A85814 | CA | Yes |
Practice location
1500 Duarte RdDuarte, CA 91010-3012
Phone 626-359-8111
Mailing address
Po Box 512185Los Angeles, CA 90051-0185
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Other Vascular & Interventional Radiology Physician providers in Duarte, CA
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All 5 Vascular & Interventional Radiology Physician providers in Duarte · All 1,451 providers in Duarte
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