Raymond Park, D.O,
Family Medicine · Los Angeles, CA
UnclaimedD.O,NPI 1174970560
- Primary taxonomy
- 207QA0505X
- Enumerated
- 2016-05-16
- Practice location
- Los Angeles, CA
- Last NPPES update
- 2024-03-13
State licenses
- CA · Osteopathic physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.