Park, Joseph

Park, Joseph is an sole proprietor health care provider with primary practice located at 191 S Buena Vista St Ste 315 , Burbank CA 91505-4556. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Park, Joseph can be contacted via phone (818) 848-5586.

Contact Information

Primary practice address
191 S Buena Vista St Ste 315 Burbank CA 91505-4556
Phone: (818) 848-5586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4797 California

Profile Details

NPI number 1982886412
LBN Legal business name Park, Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2007
Last updated Feb 23rd, 2009 - about 15 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 1982886412 NPPES
California Other 1982886412 PODIATRY

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