Park, Peter
Park, Peter is an sole proprietor health care provider with primary practice located at 1800 W Beverly Blvd Ste 101 , Montebello CA 90640-3964. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Park, Peter can be contacted via phone (323) 516-6252.Contact Information
Primary practice address
1800 W Beverly Blvd Ste 101
Montebello CA 90640-3964
Phone: (323) 516-6252
Fax: (714) 801-7928
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | DC32033 | California |
Profile Details
| NPI number | 1417214750 |
|---|---|
| LBN Legal business name | Park, Peter |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Apr 11th, 2012 - 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 | 1417214750 | NPPES |
| California | Other | DC32033 | CALIFORNIA STATE LICENCE |
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