Park, James M.

Park, James M. is an individual health care provider with primary practice located at 1150 N Indian Canyon Dr , Palm Springs CA 92262-4872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Park, James M. can be contacted via phone (760) 323-6511.

Contact Information

Primary practice address
1150 N Indian Canyon Dr Palm Springs CA 92262-4872
Phone: (760) 323-6511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A79414 California

Profile Details

NPI number 1396824090
LBN Legal business name Park, James M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Aug 6th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396824090 NPPES
California MEDICAID 00A794140

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