Park, Mina
Park, Mina is an individual health care provider with primary practice located at 8650 Belford Ave Apt 225 , Los Angeles CA 90045-4553. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Park, Mina can be contacted via phone (818) 987-5088.Contact Information
Primary practice address
8650 Belford Ave Apt 225
Los Angeles CA 90045-4553
Phone: (818) 987-5088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 95002208 | California |
| Nursing Service Providers / Gerontology | 163WG0600X | 95002208 | California |
Profile Details
| NPI number | 1417312406 |
|---|---|
| LBN Legal business name | Park, Mina |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2015 |
| Last updated | Dec 18th, 2015 - about 11 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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