Parks, Jeffrey
Parks, Jeffrey is an sole proprietor health care provider with primary practice located at 210 W San Bernardino Rd , Covina CA 91723-1515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Parks, Jeffrey can be contacted via phone (626) 331-7331.Contact Information
Primary practice address
210 W San Bernardino Rd
Covina CA 91723-1515
Phone: (626) 331-7331
Fax: (626) 859-5840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A81062 | California |
Profile Details
| NPI number | 1689745937 |
|---|---|
| LBN Legal business name | Parks, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689745937 | NPPES |
| California | MEDICAID | 00A810620 |
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