Park, Alice

Park, Alice is an individual health care provider with primary practice located at 1305 Tommydon St , Stockton CA 95210-3364. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Park, Alice can be contacted via phone (209) 476-5200.

Contact Information

Primary practice address
1305 Tommydon St Stockton CA 95210-3364
Phone: (209) 476-5200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X L8157 Texas

Profile Details

NPI number 1891795076
LBN Legal business name Park, Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Dec 27th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers