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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PETER PARK MD INC

Active Organization

PETER PARK MD INC is a Family Medicine organization located in LOS ANGELES, California. NPI 1154465631 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOS ANGELES, CA

Registration Details

NPI Number
1154465631
Provider Type
Organization
NPI Issued
Feb 16, 2007 (19.505427574519 yrs)
Last Updated
Apr 10, 2017
License
A54976 (CA)

Practice Information

Address
2600 W PICO BLVD
SUITE 105
LOS ANGELES, CA, 900063902
Browse CA providers · Browse ZIP 90006
Phone
2133882772
Fax
2133882112
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.