Dr. Daniel Park, D.O.
Psychiatry & Neurology, Psychiatry in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124201801
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1124201801
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daniel Park
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 17, 2007
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | SL0537 | NV | Yes |
Practice location
4270 S Decatur Blvd Ste B6Las Vegas, NV 89103-6802
Phone 702-485-2100 · Fax 702-825-0091
Mailing address
377 Trailing Putt WayLas Vegas, NV 89148-5003
Phone 951-809-5908 · Fax 702-947-5352
Other practice locations
1707 W Charleston Blvd Ste 200
Las Vegas, NV 89102-2353
Las Vegas, NV 89102-2353
Phone 951-809-5908 · Fax 702-947-5352
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