Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. AGATHA L PARK, M.D.
Active Sole ProprietorDR. AGATHA L PARK, M.D. is a Specialist healthcare provider located in BEVERLY HILLS, California. NPI 1407988165 is currently active in the NPPES registry. Verify at CMS.
Specialist · BEVERLY HILLS, CA
Registration Details
- NPI Number
- 1407988165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 9, 2007 (19.424248194915 yrs)
- Last Updated
- Mar 23, 2011
- License
-
95-4263002 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
245 S CRESCENT DRBEVERLY HILLS, CA, 902124001Browse CA providers · Browse ZIP 90212
- Phone
- 3105507669
- Fax
- 3102470950
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BEVERLY HILLS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. RODNEY H. BLUESTONE | M.D. | 1861496382 |
| SUSAN A. BAKER | M.D. | 1912901448 |
| DR. TOMMIE FLASHMAN | M.D. | 1619973922 |
| LEIF L ROGERS | MD | 1649276700 |
| DR. LISA B CASSILETH | MD | 1407858459 |
| DR. ROBERT E LEVINE | M.D. | 1144222977 |
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.