Park, Renee E

Park, Renee E is an individual health care provider with primary practice located at 9961 Sierra Ave , Fontana CA 92335-6720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as her primary health care specialty. Park, Renee E can be contacted via phone (909) 427-5000.

Contact Information

Primary practice address
9961 Sierra Ave Fontana CA 92335-6720
Phone: (909) 427-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X MD454696 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X A135401 California

Profile Details

NPI number 1205079910
LBN Legal business name Park, Renee E
Credentials M.D., M.P.H.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2009
Last updated Nov 29th, 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.

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