Park, David Rae
Park, David Rae is an individual health care provider with primary practice located at 8041 Newman Ave , Huntington Beach CA 92647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Park, David Rae can be contacted via phone (888) 499-9303.Contact Information
Primary practice address
8041 Newman Ave
Huntington Beach CA 92647
Phone: (888) 499-9303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | G155980 | California |
Profile Details
| NPI number | 1003855313 |
|---|---|
| LBN Legal business name | Park, David Rae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Aug 16th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003855313 | NPPES |
| Florida | MEDICAID | 270681400 | |
| Florida | Other | 48609 | |
| Florida | Other | P00223219 |
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