Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER PARK
Active Sole ProprietorJENNIFER PARK is a Customized Equipment (DME) healthcare provider located in CAMARILLO, California. NPI 1033757455 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · CAMARILLO, CA
Registration Details
- NPI Number
- 1033757455
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 16, 2019 (6.6687878251769 yrs)
- Last Updated
- Dec 16, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
1840 VENTURA BLVDCAMARILLO, CA, 930107848Browse CA providers · Browse ZIP 93010
- Phone
- 8054824848
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.