Park, Mark C.

Park, Mark C. is an individual health care provider with primary practice located at 6345 Balboa Blvd Building 3, Suite 250, Encino CA 91316-1519. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Park, Mark C. can be contacted via phone (818) 344-3937.

Contact Information

Primary practice address
6345 Balboa Blvd Building 3, Suite 250 Encino CA 91316-1519
Phone: (818) 344-3937
Fax: (818) 344-1229
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11381T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 11381T California
Eye and Vision Services Providers / Vision Therapy 152WV0400X 11381T California

Profile Details

NPI number 1720049034
LBN Legal business name Park, Mark C.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 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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