Park, Anthony J
Park, Anthony J is an individual health care provider with primary practice located at 10800 Magnolia Ave Mob 2, 2Nd Floor, Riverside CA 92505-3043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Park, Anthony J can be contacted via phone (866) 984-7483.Contact Information
Primary practice address
10800 Magnolia Ave Mob 2, 2Nd Floor
Riverside CA 92505-3043
Phone: (866) 984-7483
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A135983 | California |
Profile Details
| NPI number | 1265751697 |
|---|---|
| LBN Legal business name | Park, Anthony J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2010 |
| Last updated | Nov 29th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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