Park, Kay Loren
Park, Kay Loren is an individual health care provider with primary practice located at 222 W Eulalia St Ste 110, Glendale CA 91204-2849. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Park, Kay Loren can be contacted via phone (818) 551-7127.Contact Information
Primary practice address
222 W Eulalia St Ste 110
Glendale CA 91204-2849
Phone: (818) 551-7127
Fax: (818) 551-7131
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | G81539 | California |
Profile Details
NPI number | 1306814371 |
---|---|
LBN Legal business name | Park, Kay Loren |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2006 |
Last updated | Apr 17th, 2013 - about 12 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 | 1306814371 | NPPES |
California | MEDICAID | GR0095000 | |
California | MEDICAID | 00G815390 | |
California | MEDICAID | 1811076342 |
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