Richard Park M.D., A Professional Corporation

LBN: Richard Park M.D., A Professional Corporation
Richard Park M.D., A Professional Corporation is an health care organization with primary practice located at 10515 Balboa Blvd Ste 325 , Granada Hills CA 91344-6364. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Richard Park M.D., A Professional Corporation can be contacted via phone (818) 678-9875, or through Park, Richard via phone (818) 678-9875.

Contact Information

Primary practice address
10515 Balboa Blvd Ste 325 Granada Hills CA 91344-6364
Phone: (818) 678-9875
Fax: (747) 200-2589
Website:
Map and Directions
Authorized official contact:
Name: Park, Richard Doctor of Medicine (MD)
Phone: (818) 678-9875

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1982946323
LBN Legal business name Richard Park M.D., A Professional Corporation
DBA Doing business as
Authorized official Park, Richard Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 25th, 2013
Last updated Apr 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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