Park, Dealie Elizabeth

Park, Dealie Elizabeth is an individual health care provider with primary practice located at 30870 Russell Ranch Rd Ste 330 , Westlake Village CA 91362-7372. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Park, Dealie Elizabeth can be contacted via phone (805) 497-7015.

Contact Information

Primary practice address
30870 Russell Ranch Rd Ste 330 Westlake Village CA 91362-7372
Phone: (805) 497-7015
Fax: (805) 497-7315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA15401 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15401 California

Profile Details

NPI number 1427161488
LBN Legal business name Park, Dealie Elizabeth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated May 1st, 2024 - about 4 months 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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