Dr. Nathan Keith Park, MD
Internal Medicine in Orange, CA. Individual provider (NPI-1).
NPI number1982165247
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1982165247
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nathan Keith Park
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2019
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2089 | CA | Yes |
Practice location
101 The City Dr SOrange, CA 92868-3201
Phone 714-880-7812 · Fax 714-456-8874
Mailing address
200 S Manchester Ave Ste 300Orange, CA 92868-3219
Phone 714-456-2986
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