Kerri S. Parks, M. D., A Professional Medical Corporation
LBN: Kerri S. Parks, M. D., A Professional Medical Corporation
Kerri S. Parks, M. D., A Professional Medical Corporation is an health care organization with primary practice located at 1808 Verdugo Blvd #208, Glendale CA 91208-1477. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Kerri S. Parks, M. D., A Professional Medical Corporation can be contacted via phone (818) 952-5322, or through Parks, Kerri Shane via phone (818) 952-5322.
Contact Information
Primary practice address
1808 Verdugo Blvd #208
Glendale CA 91208-1477
Phone: (818) 952-5322
Fax: (818) 952-7993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1942483375 |
|---|---|
| LBN Legal business name | Kerri S. Parks, M. D., A Professional Medical Corporation |
| DBA Doing business as | |
| Authorized official | Parks, Kerri Shane Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 7th, 2007 |
| Last updated | Aug 6th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942483375 | NPPES |
| California | MEDICAID | GR0102260 |
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