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:
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Health care specialties

SpecialtyCodeLicense #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 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003855313 NPPES
Florida MEDICAID 270681400
Florida Other 48609
Florida Other P00223219

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