EDWARD J PARK D.O.
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1366795106- Provider Type
- Individual Provider (NPI-1)
- Credentials
- D.O.
- Status
- Active
Contact & Location
- Address
- 3771 KATELLA AVE STE 210, LOS ALAMITOS, CA, 907203118
- Phone
- (562) 430-0581
- Fax
- (562) 598-2110
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Urology
Primary License: CA #20A17227