| Doctor Name: | JOHN PARK |
| NPI Number: | 1124155643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A85814 |
| Business Practice Address: | 1500 Duarte Rd Duarte, CA - 910103012 |
| Business Phone Number: | 6263598111 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5063, MONROVIA |
| State: | CA |
| Postal Code: | 910177163 |
| Phone Number: | 6267753200 |
| Fax Number: | 6267753271 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 04/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | A85814 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |