Diane Park Md Llc

LBN: Diane Park Md Llc
Diane Park Md Llc is an health care organization with primary practice located at 1845 S Dobson Rd Suite 109, Mesa AZ 85202-5661. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Diane Park Md Llc can be contacted via phone (480) 204-2477, or through Park, Diane via phone (480) 204-2477.

Contact Information

Primary practice address
1845 S Dobson Rd Suite 109 Mesa AZ 85202-5661
Phone: (480) 204-2477
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Park, Diane Doctor of Medicine (MD)
Phone: (480) 204-2477

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 32107 Arizona

Profile Details

NPI number 1972847903
LBN Legal business name Diane Park Md Llc
DBA Doing business as
Authorized official Park, Diane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2012
Last updated Nov 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972847903 NPPES
Arizona Other 1609946672 INDIVIDUAL NPI NUMBER

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