Park, Elisa
Park, Elisa is an individual health care provider with primary practice located at 3114 W Beverly Blvd , Montebello CA 90640-2217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Park, Elisa can be contacted via phone (323) 726-3868.Contact Information
Primary practice address
3114 W Beverly Blvd
Montebello CA 90640-2217
Phone: (323) 726-3868
Fax: (323) 726-3870
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 20A16443 | California |
Profile Details
| NPI number | 1477931186 |
|---|---|
| LBN Legal business name | Park, Elisa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2015 |
| Last updated | Aug 18th, 2020 - about 6 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.
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