Robert Park M.D.

LBN: Robert Park M.D.
Robert Park M.D. is an health care organization with primary practice located at 191 Lynch Creek Way Suite 205, Petaluma CA 94954-2389. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Robert Park M.D. can be contacted via phone (707) 765-1501, or through Park, Robert via phone (707) 765-1501.

Contact Information

Primary practice address
191 Lynch Creek Way Suite 205 Petaluma CA 94954-2389
Fax: (707) 765-1530
Website:
Authorized official contact:
Name: Park, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G22984 California

Profile Details

NPI number 1538356035
LBN Legal business name Robert Park M.D.
DBA Doing business as
Authorized official Park, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Oct 10th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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